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Organization

PEDIATRIC CARE OF POMPANO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN SCOTT MD (AUTHORIZED OFFICIAL)
(904) 805-1300
Entity
Organization

Contact information

Practice address
200 SE 19TH STREET, POMPANO BEACH, FL 33060
(954) 943-7638
Mailing address
6400 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8768
(904) 805-1300
(904) 805-1456

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39227
GRP BCBS #
FL
Enumeration date
10/06/2006
Last updated
08/22/2020
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