Organization
MT CARMEL PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE GO M.D. (MGRM)
(561) 600-9015
Entity
Organization
Contact information
Practice address
200 KNUTH RD, SUITE 106, BOYNTON BEACH, FL 33436-4629
(561) 600-9015
(561) 600-9016
Mailing address
200 KNUTH RD, SUITE 106, BOYNTON BEACH, FL 33436-4629
(561) 600-9015
(561) 600-9016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0041663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067795700
—
FL
05
—
265620500
—
FL
Enumeration date
03/26/2013
Last updated
10/29/2013
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