Organization
PEDIKIDZ OF PALM BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN MACIAS (ADMINISTRATOR)
(561) 585-7732
Entity
Organization
Contact information
Practice address
2311 10TH AVE N STE 13, LAKE WORTH, FL 33461-6605
(561) 585-7732
Mailing address
2311 10TH AVE N STE 13, LAKE WORTH, FL 33461-6605
(561) 585-7732
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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