Healthcare Provider Details

I. General information

NPI: 1710014162
Provider Name (Legal Business Name): FLORIDA PEDIATRIC CRITICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 NW 42ND AVE
PLANTATION FL
33317-2835
US

IV. Provider business mailing address

PO BOX 992
WEST PALM BEACH FL
33402-0992
US

V. Phone/Fax

Practice location:
  • Phone: 954-587-5010
  • Fax:
Mailing address:
  • Phone: 888-382-5603
  • Fax: 727-523-8093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ALBERTO MARANTE
Title or Position: PRESIDENT
Credential: MD
Phone: 561-662-0642