Personalized Pediatrics Llc

LBN: Personalized Pediatrics Llc
Personalized Pediatrics Llc is an health care organization with primary practice located at 12621 Nw 8Th Ct , Coral Springs FL 33071-4425. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Personalized Pediatrics Llc can be contacted via phone (954) 632-2791, or through Tello, Edna L via phone (954) 632-2791.

Contact Information

Primary practice address
12621 Nw 8Th Ct Coral Springs FL 33071-4425
Phone: (954) 632-2791
Fax: (954) 752-7845
Website:
Map and Directions
Authorized official contact:
Name: Tello, Edna L Doctor of Medicine (MD)
Phone: (954) 632-2791

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME80694 Florida

Profile Details

NPI number 1215329313
LBN Legal business name Personalized Pediatrics Llc
DBA Doing business as
Authorized official Tello, Edna L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2015
Last updated Feb 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215329313 NPPES
Florida MEDICAID 2606259

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