Healthcare Provider Details

I. General information

NPI: 1134660731
Provider Name (Legal Business Name): LOTUS PEDIATRIC DAY CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 NW 27TH AVE # D5A
MIAMI FL
33147-4909
US

IV. Provider business mailing address

7900 NW 27TH AVE # D5A
MIAMI FL
33147-4909
US

V. Phone/Fax

Practice location:
  • Phone: 305-244-4133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number StateFL

VIII. Authorized Official

Name: LINDY PEREZ
Title or Position: PRESIDENT
Credential:
Phone: 305-244-4133