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NPI Code Detail

MEDICARE: ATLANTIC PEDIATRIC PARTNERS LLC

MEDICARE: ATLANTIC PEDIATRIC PARTNERS LLC
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 PhysicianME53461FL

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 : 1962783183
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTIC PEDIATRIC PARTNERS LLC
Provider Business Mailing Address
First Line : 7800 SW 87TH AVE
Second Line : SUITE C-350
City : MIAMI
State : FL
Zip : 33173-2539
Country : US
Telephone Number : 954-731-9676
Fax Number : 954-731-9747
Provider Business Practice Location Address
First Line : 11011 SHERIDAN ST
Second Line : SUITE 311
City : COOPER CITY
State : FL
Zip : 33026-1505
Country : US
Telephone Number : 954-435-7400
Fax Number : 954-435-5402
Authorized Official
Title or Position : CEO
Name : PAUL J. GOLDBERG
Credential : M.D.
Telephone Number : 954-435-7400
Provider Enumeration Date : 09/01/2011
Last Update Date : 01/16/2020

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Directions to “ATLANTIC PEDIATRIC PARTNERS LLC ” Practice Location

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