Organization
CHILDRENS MEDICAL ASSOCIATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA SHAH (OFFICE MANAGER)
(954) 722-0300
Entity
Organization
Contact information
Practice address
8430 W BROWARD BLVD STE 300, PLANTATION, FL 33324-2700
(954) 473-1011
(954) 473-8588
Mailing address
8430 W BROWARD BLVD STE 300, PLANTATION, FL 33324-2700
(954) 473-1011
(954) 473-8588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063024101
—
FL
Enumeration date
10/02/2006
Last updated
07/20/2021
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