Organization
CIRCLE OF FRIENDS PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA MALAVSKY (CONTROLLER)
(954) 668-1110
Entity
Organization
Contact information
Practice address
16500 COLLINS AVE, 1052, SUNNY ISLES BEACH, FL 33160-4539
(954) 668-1110
Mailing address
16500 COLLINS AVE, 1052, SUNNY ISLES BEACH, FL 33160-4539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/25/2009
Last updated
05/25/2009
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