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Organization

SUNSHINE KIDS PEDIATRIC CARE FLL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID MAYMON (OWNER)
(954) 881-8230
Entity
Organization

Contact information

Practice address
2122 NW 62ND ST STE 100, FORT LAUDERDALE, FL 33309-1866
(954) 881-8230
Mailing address
2122 NW 62 STREET, SUITE 100, FORT LAUDERDALE, FL 33309
(954) 881-8230

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
03/03/2020
Last updated
03/03/2020
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