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NPI Code Detail

MEDICARE: ADVANCED PEDIATRICS PPEC

MEDICARE: ADVANCED PEDIATRICS PPEC
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
1163WP0200XPediatric Registered Nurse
22279P3900XNeonatal/Pediatric Registered Respiratory Therapist
33140N1450XPediatric Skilled Nursing Facility
4261QM3000XMedically Fragile Infants and Children Day Care

General Provider Information

NPI Number : 1528647278
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED PEDIATRICS PPEC
Provider Business Mailing Address
First Line : 10383 SW 186TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-6824
Country : US
Telephone Number : 786-560-9069
Fax Number :
Provider Business Practice Location Address
First Line : 10383 SW 186TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-6824
Country : US
Telephone Number : 786-560-9069
Fax Number :
Authorized Official
Title or Position : PRESIDENT/ADMINISTRATOR
Name : JONATHAN A RODRIGUEZ
Credential :
Telephone Number : 786-560-9069
Provider Enumeration Date : 04/07/2021
Last Update Date : 11/22/2021

Similar Medicare Providers

1982003372 — A. KAY WILLIAMS-DAWSON MS, MFT
Practice Location Address:
10383 SW 186TH ST
CUTLER BAY, FL
33157-6824
Practice Phone: 305-964-5101
Practice Fax: 305-964-5297
1508247297 — MARGALIE KANZKI
Practice Location Address:
10387 SW 186TH ST
CUTLER BAY, FL
33157-6824
Practice Phone: 305-546-9679
Practice Fax:
1699136606 — DR. JONATHAN A RODRIGUEZ
Practice Location Address:
10383 SW 186TH ST
CUTLER BAY, FL
33157-6824
Practice Phone: 786-560-9069
Practice Fax:
1316691074 — NOSTRUM THERAPY SERVICES LLC
Practice Location Address:
10383 SW 186TH ST
CUTLER BAY, FL
33157-6824
Practice Phone: 786-216-8690
Practice Fax: 305-964-5203
1881305977 — PEACE OF MIND CARE SYSTEM INC
Practice Location Address:
10383 SW 186TH ST UNIT 2K
CUTLER BAY, FL
33157-6824
Practice Phone: 305-803-5891
Practice Fax:
1912770421 — WILLIAM ELIZALDE BARRIOS RBT
Practice Location Address:
10379 SW 186TH ST
CUTLER BAY, FL
33157-6824
Practice Phone: 786-250-5165
Practice Fax: 786-250-5158

Directions to “ADVANCED PEDIATRICS PPEC ” Practice Location

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