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General NPI Number Information
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NPI Number | 1952450520
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Entity Type | Organization
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Legal Business Name | WEST BROWARD PEDIATRICS, P.A.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 220 SW 84TH AVE SUITE 206
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City | PLANTATION
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State | FL
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Zip | 33324-2754
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Country | US
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Telephone | 954-423-2300
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Fax | 954-424-4200
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Provider Business Mailing Address
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Address Line | 220 SW 84TH AVE SUITE 206
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City | PLANTATION
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State | FL
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Zip | 33324-2754
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Country | US
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Telephone | 954-423-2300
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Fax | 954-424-4200
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. MICHAEL MORRISON
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Credential | MD
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Telephone | 954-423-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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