Healthcare Provider Details

I. General information

NPI: 1487335170
Provider Name (Legal Business Name): ALLEGRA FAMILY PEDIATRICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4651 N STATE ROAD 7 STE 10
COCONUT CREEK FL
33073-4378
US

IV. Provider business mailing address

4651 N STATE ROAD 7 STE 10
COCONUT CREEK FL
33073-4378
US

V. Phone/Fax

Practice location:
  • Phone: 954-866-5688
  • Fax:
Mailing address:
  • Phone: 954-866-5688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNYFER P UZOR
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 347-549-3274