Organization
SOUTH FLORIDA PEDIATRIC GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH VALENCIA M.D. (PRESIDENT)
(305) 965-9236
Entity
Organization
Contact information
Practice address
8300 W FLAGLER ST, SUITE# 258A, MIAMI, FL 33144-6000
(305) 965-9236
Mailing address
PO BOX 442751, MIAMI, FL 33144-7751
(305) 965-9236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME98844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME98844
MEDICAL LICENSE
FL
Enumeration date
07/04/2007
Last updated
08/22/2020
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