Healthcare Provider Details

I. General information

NPI: 1730482522
Provider Name (Legal Business Name): ALLIED PEDIATRICS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2010
Last Update Date: 12/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SW 72ND ST STE 282
MIAMI FL
33173-3012
US

IV. Provider business mailing address

10300 SW 72ND ST STE 282
MIAMI FL
33173-3012
US

V. Phone/Fax

Practice location:
  • Phone: 305-275-1700
  • Fax:
Mailing address:
  • Phone: 305-275-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME56180
License Number StateFL

VIII. Authorized Official

Name: ADRIANA MARIA CASTRO
Title or Position: CHAIR
Credential: M.D.
Phone: 305-275-1700