Organization
KIDZ-IN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGERIO SERRANO FAILLACE M.D. (DOCTOR)
(954) 786-2200
Entity
Organization
Contact information
Practice address
3170 N FEDERAL HWY, SUITE 214, LIGHTHOUSE POINT, FL 33064-6700
(954) 786-2200
Mailing address
5042 SOUTHWEST 173RD AVENUE, MIRAMAR, FL 33029
(954) 786-2200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 77924
FL
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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