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NPI Code Detail

MEDICARE: PEDIATRIC HOSPITALIST OF SOUTH FLORIDA PA

MEDICARE: PEDIATRIC HOSPITALIST OF SOUTH FLORIDA 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
1208000000XPediatrics PhysicianME0065578FL

Other Identifiers

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

General Provider Information

NPI Number : 1245328293
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC HOSPITALIST OF SOUTH FLORIDA PA
Provider Business Mailing Address
First Line : 1117 E HALLANDALE BEACH BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-4488
Country : US
Telephone Number : 954-457-8771
Fax Number : 954-241-6908
Provider Business Practice Location Address
First Line : 1117 E HALLANDALE BEACH BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-4488
Country : US
Telephone Number : 954-457-8771
Fax Number : 954-241-6908
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. JORDAN S SAYFIE
Credential :
Telephone Number : 954-454-5131
Provider Enumeration Date : 10/11/2006
Last Update Date : 05/02/2018

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Directions to “PEDIATRIC HOSPITALIST OF SOUTH FLORIDA PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.