Organization
PEDIATRIC SPECIALTY GROUP, INC
Active
Parent organization
PEDIATRIC SPECIALTY GROUP, INC
Other names
Pediatric Specialists of America at Allapattah
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC SPECIALTY GROUP, INC
Authorized official
RAIZA BEATRIZ VIDAURRAZAGA (SR PROVIDER RELATIONS SPECIALIST)
(786) 624-2186
Entity
Organization
Contact information
Practice address
3445 NW 7TH ST, MIAMI, FL 33125-4013
(305) 643-0133
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 643-0133
(305) 643-1728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/24/2019
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