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Organization

KIDS HEART PEDIATRICS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA C SERRANO MD (PD)
(954) 510-2060
Entity
Organization

Contact information

Practice address
12505 ORANGE DR STE 907, DAVIE, FL 33330-4300
(954) 579-3916
(954) 688-7055
Mailing address
12505 ORANGE DR STE 907, DAVIE, FL 33330-4300
(954) 579-3916
(954) 688-7055

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080P0202X
Pediatric Cardiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012102200
FL
Enumeration date
03/29/2021
Last updated
03/29/2021
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