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Organization

PEDIATRIC HEART ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICENTE LEMES M.D. (PRESIDENT)
(954) 966-8667
Entity
Organization

Contact information

Practice address
3801 HOLLYWOOD BLVD, SUITE 350, HOLLYWOOD, FL 33021-6758
(954) 966-6216
Mailing address
3801 HOLLYWOOD BLVD, SUITE 350, HOLLYWOOD, FL 33021-6758
(954) 966-6216

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276729500
FL
Enumeration date
05/15/2007
Last updated
09/07/2011
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