Organization
MIAMI LAKES PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA ALFONSO (PRACTICE ADMINISTRATOR)
(305) 823-7768
Entity
Organization
Contact information
Practice address
14400 NW 77TH CT STE 102, MIAMI LAKES, FL 33016-1590
(305) 823-7768
(305) 823-2211
Mailing address
14400 NW 77TH CT STE 102, MIAMI LAKES, FL 33016-1590
(305) 823-7768
(305) 823-2211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103180600
—
FL
Enumeration date
05/21/2019
Last updated
04/25/2022
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