Organization
SOUTH FLORIDA PEDIATRIC SURGEONS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI JO LEWARK (PRACTICE ADMINISTRATOR)
(954) 584-8500
Entity
Organization
Contact information
Practice address
300 N.W. 70TH AVENUE, SUITE 202, FT. LAUDERDALE, FL 33317-2384
(954) 584-8500
(954) 792-0192
Mailing address
300 N.W. 70TH AVENUE, SUITE 202, FT. LAUDERDALE, FL 33317-2384
(954) 584-8500
(954) 792-0192
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
02/03/2011
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