Healthcare Provider Details

I. General information

NPI: 1902065634
Provider Name (Legal Business Name): NORTH MIAMI PEDIATRICS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16401 NW 2ND AVE SUITE 202
MIAMI FL
33169-6036
US

IV. Provider business mailing address

16401 NW 2ND AVE SUITE 202
MIAMI FL
33169-6036
US

V. Phone/Fax

Practice location:
  • Phone: 305-947-4734
  • Fax: 305-944-0619
Mailing address:
  • Phone: 305-947-4734
  • Fax: 305-944-0619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SHARI WILLIAMS
Title or Position: PHYSICIAN/NEW OWNER
Credential: MD
Phone: 305-947-4734