Whalio Doctors

NPI 1275554248

Pediatric Providers of S Florida

Organisation Non-Pharmacy Dispensing Site Hialeah, FL

Practice location

Address
464 W 51st Pl, Hialeah, FL 33012-3620
Phone
(305) 551-1281
Fax
(305) 362-9138

Authorised official

Name
Direndia Shackelford
Title
Managed Care Spec- Allscripts
Phone
(800) 680-0889

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence ME49402 (FL)

Registry record

NPI
1275554248
Entity type
Organization
NPI issued
22 Jul 2006
Record last updated
22 Aug 2020

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.