Pediatric Medical Associates, Llc. | |
4445 Pine Forest Dr Lake Worth FL 33463-4676 | |
(800) 990-0340 | |
Not Available |
Full Name | Pediatric Medical Associates, Llc. |
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Speciality | Psychologist - Clinical Child & Adolescent |
Location | 4445 Pine Forest Dr, Lake Worth, Florida |
Authorized Official Name and Position | Todd Branstetter (CFO) |
Authorized Official Contact | 8009900340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Medical Associates, Llc. Po Box 542590 Greenacres FL 33454-2590 Ph: (800) 990-0340 | Pediatric Medical Associates, Llc. 4445 Pine Forest Dr Lake Worth FL 33463-4676 Ph: (800) 990-0340 |
NPI Number | 1700213485 |
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Provider Enumeration Date | 09/26/2013 |
Last Update Date | 02/26/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700213485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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