National Provider Identifier Database

PEDIATRIC ADOLESCENT MEDICINE
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

PEDIATRIC &ADOLESCENT MEDICINE
7150 W 20TH AVE STE 612
HIALEAH, FL33016-5534
Phone: 305-827-1561
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC &ADOLESCENT MEDICINE

NPI Number 1154712198
Legal business name
LBN
PEDIATRIC &ADOLESCENT MEDICINE
Authorized official ROBERT O'NEILL - (DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 02/12/2015
Last updated 02/12/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME0063187
  • FL Medicaid: 372063200

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PEDIATRIC &ADOLESCENT MEDICINE

There are currently no reviews for PEDIATRIC &ADOLESCENT MEDICINE


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