Organization
FLORIDA KIDS PPEC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED M ABDELLI R.N. (ADMINISTRATOR)
(850) 960-5045
Entity
Organization
Contact information
Practice address
5 E. LANE DR., UNITS A/B, MARY ESTHER, FL 32569
(850) 226-8331
Mailing address
205 HARRISON PL, PANAMA CITY, FL 32405-4470
(850) 960-5045
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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