Organization
SUNSHINE KIDS PEDIATRIC CARE, LLC, FLL, THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R MAYMON (OWNER)
(954) 881-8230
Entity
Organization
Contact information
Practice address
2122 NW 62ND ST STE 103, FORT LAUDERDALE, FL 33309-1866
(954) 881-8230
(954) 892-6567
Mailing address
2122 NW 62ND ST STE 103, FORT LAUDERDALE, FL 33309-1866
(954) 881-8230
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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