Organization
PEDIATRIC ASSOCIATES OF SOUTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD D. JONES (CEO)
(305) 245-3220
Entity
Organization
Contact information
Practice address
151 NW 11TH ST, SUITE E202, HOMESTEAD, FL 33030-4360
(305) 245-3220
Mailing address
151 NW 11TH ST, SUITE E202, HOMESTEAD, FL 33030-4360
(305) 245-3220
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002673000
—
FL
05
—
1821301896
—
FL
Enumeration date
07/20/2010
Last updated
09/06/2012
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