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Organization

PEDI STAT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GRISELDA MILLER (PRESIDENT)
(305) 623-1222
Entity
Organization

Contact information

Practice address
1450 NW 159TH ST, MIAMI, FL 33169-5727
(305) 623-1222
(305) 623-1012
Mailing address
1450 NW 159TH ST, MIAMI, FL 33169-5727
(305) 623-1222
(305) 623-1012

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
54
FL
332BC3200X
Customized Equipment (DME)
54
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
54
FL

Other

Enumeration date
07/07/2005
Last updated
09/11/2025
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