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Contact Information

PEDIATRIC &ADOLESCENT MEDICINE
7150 W 20TH AVE STE 612
HIALEAH, FL33016-5534
 Phone: 305-827-1561
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC &ADOLESCENT MEDICINE

NPI # 1154712198
LBN Legal business name PEDIATRIC &ADOLESCENT MEDICINE
Authorized official ROBERT O'NEILL - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2015
Last updated 02/12/2015 - About 11 years ago
Identifiers
FL License # ME0063187
FL Medicaid 372063200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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