Healthcare Provider Details

I. General information

NPI: 1063823854
Provider Name (Legal Business Name): VERO PEDIATRICS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 37TH PL SUITE 1N
VERO BEACH FL
32960-6502
US

IV. Provider business mailing address

840 37TH PL SUITE 1N
VERO BEACH FL
32960-6502
US

V. Phone/Fax

Practice location:
  • Phone: 772-978-9000
  • Fax:
Mailing address:
  • Phone: 772-978-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberME64071
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberME78173
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberME64071
License Number StateFL

VIII. Authorized Official

Name: DR. KAREN R WESTBERRY
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 772-978-9000