Organization
PEDIKIDZ OF PALM BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN MACIAS (DIRECTOR)
(561) 585-7732
Entity
Organization
Contact information
Practice address
2311 10TH AVE N STE 12, LAKE WORTH, FL 33461-6605
(561) 585-7732
(561) 585-7793
Mailing address
2311 10TH AVE N STE 12, LAKE WORTH, FL 33461-6605
(561) 585-7732
(561) 585-7793
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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