Healthcare Provider Details

I. General information

NPI: 1447353909
Provider Name (Legal Business Name): PERSONAL CARE PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date: 02/20/2019
Reactivation Date: 03/09/2019

III. Provider practice location address

2964 N STATE ROAD 7 SUITE 340
MARGATE FL
33063-5715
US

IV. Provider business mailing address

2964 N STATE ROAD 7 STE 340
MARGATE FL
33063-5715
US

V. Phone/Fax

Practice location:
  • Phone: 954-974-3006
  • Fax: 954-974-8921
Mailing address:
  • Phone: 954-974-3006
  • Fax: 954-974-8921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NADIA R LEVINSON
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 561-715-3900