MEDICARE: VERO PEDIATRICS, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	ME78173	FL
2	261QP2300X	Primary Care Clinic/Center	ME64071	FL
3	291U00000X	Clinical Medical Laboratory	ME64071	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063823854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERO PEDIATRICS, PA

Provider Business Mailing Address
First Line	:	840 37TH PL
Second Line	:	SUITE 1N
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6502
Country	:	US
Telephone Number	:	772-978-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 37TH PL
Second Line	:	SUITE 1N
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6502
Country	:	US
Telephone Number	:	772-978-9000
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	DR. KAREN R WESTBERRY
Credential	:	MD
Telephone Number	:	772-978-9000

Provider Enumeration Date	:	05/14/2014
Last Update Date	:	05/16/2014

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Directions to “VERO PEDIATRICS, PA ” Practice Location

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