Healthcare Provider Details

I. General information

NPI: 1659689701
Provider Name (Legal Business Name): WESTCHESTER PEDIATRIC ASSOCIATES, L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 09/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SUNSET DRIVE SUITE #351
MIAMI FL
33173
US

IV. Provider business mailing address

10300 SUNSET DRIVE SUITE #351
MIAMI FL
33173
US

V. Phone/Fax

Practice location:
  • Phone: 305-273-1200
  • Fax: 305-273-1400
Mailing address:
  • Phone: 305-273-1200
  • Fax: 305-273-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARGARITA S FERNANDEZ-PUJOL
Title or Position: MANAGING PARTNER
Credential: M.D
Phone: 305-273-1200