| Pediatric Advancement Llc | |
|
6191 Orange Dr Ste 6181p Davie FL 33314-3457 | |
| (800) 484-6803 | |
| Not Available |
| Full Name | Pediatric Advancement Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6191 Orange Dr Ste 6181p, Davie, Florida |
| Authorized Official Name and Position | Gabriel Casals (OWNER) |
| Authorized Official Contact | 8004846803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Advancement Llc 6191 Orange Dr Ste 6181p Davie FL 33314-3457 Ph: (800) 484-6803 | Pediatric Advancement Llc 6191 Orange Dr Ste 6181p Davie FL 33314-3457 Ph: (800) 484-6803 |
| NPI Number | 1205512696 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205512696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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