Organization
HOMESTEAD PEDIATRIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANETTE TORRES M.D. (PRESIDENT)
(305) 245-4549
Entity
Organization
Contact information
Practice address
975 BAPTIST WAY, SUITE 103, HOMESTEAD, FL 33033-7600
(305) 245-4549
(305) 245-4590
Mailing address
975 BAPTIST WAY, SUITE 103, HOMESTEAD, FL 33033-7600
(305) 245-4549
(305) 245-4590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME83861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11071
DIMENSION
FL
01
—
178147
JMH
FL
01
—
194198
AMERIGROUP
FL
05
—
272565700
—
FL
01
—
29246
BLUECROSSBLUESHIELD
FL
01
—
297302
AVMED
FL
01
—
4554532
CIGNA
FL
01
—
52761-83861
NHP
FL
01
—
5666752
FIRSTHEALTH
FL
01
—
SG078319/H922
VISTA
FL
Enumeration date
10/04/2005
Last updated
09/28/2013
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