Organization
PEDIATRIC HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGERIO SERRANO FAILLACE M.D (PRESIDENT)
(954) 441-1144
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVE, MIRAMAR, FL 33029-5593
(954) 441-1144
Mailing address
5042 SW 173RD AVE., MIRAMAR, FL 33029
(954) 441-1144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 77924
FL
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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