NPI 1003306093
Pediatric Specialty Group, INC
Practice location
- Address
- 6370 N State Road 7 STE 100, Coconut Creek, FL 33073
- Phone
- (954) 321-7762
- Fax
- (954) 321-9596
- Mailing address
- 3100 SW 62nd Ave, Miami, FL 33155-3009
Authorised official
- Name
- Raiza Beatriz Vidaurrazaga
- Title
- Sr. Provider Relations Specialist
- Phone
- (786) 624-2186
Registered specialties (15)
Pediatric Orthopaedic Surgery Physician
Primary
Neurological Surgery Physician
Pediatrics Physician
Pediatric Allergy/Immunology Physician
Pediatric Cardiology Physician
Pediatric Emergency Medicine (Pediatrics) Physician
Pediatric Endocrinology Physician
Pediatric Gastroenterology Physician
Pediatric Nephrology Physician
Pediatric Rheumatology Physician
Plastic Surgery Physician
Pediatric Radiology Physician
Rehabilitation Clinic/Center
Urgent Care Clinic/Center
Children's Hospital
Registry record
- NPI
- 1003306093
- Entity type
- Organization
- NPI issued
- 15 May 2018
- Record last updated
- 26 Sep 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.