Organization
FLORIDA PEDIATRIC CRITICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO MARANTE MD (PRESIDENT)
(561) 662-0642
Entity
Organization
Contact information
Practice address
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-9203
(561) 798-3300
Mailing address
PO BOX 5187, CLEARWATER, FL 33758-5187
(888) 382-5603
(727) 523-8093
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265332000
—
FL
01
—
38862
FLORIDA BCNUMBER
FL
Enumeration date
02/27/2007
Last updated
10/27/2010
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