MEDICARE: ATLANTIC PEDIATRICS HEALTHCARE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1518327196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC PEDIATRICS HEALTHCARE

Provider Business Mailing Address
First Line	:	9630 LASBURY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3628
Country	:	US
Telephone Number	:	713-543-1475
Fax Number	:

Provider Business Practice Location Address
First Line	:	9630 LASBURY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3628
Country	:	US
Telephone Number	:	713-543-1475
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FLORENCE ANI
Credential	:
Telephone Number	:	281-313-0229

Provider Enumeration Date	:	02/25/2016
Last Update Date	:	02/25/2016

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