| Sage Pediatrics Pa | |
|
1990 Ne 163rd St Suite # 101 North Miami Beach FL 33162-4854 | |
| (305) 949-1275 | |
| (305) 949-1273 |
| Full Name | Sage Pediatrics Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1990 Ne 163rd St, North Miami Beach, Florida |
| Authorized Official Name and Position | Olakunle T Olagbemi (PRESIDENT) |
| Authorized Official Contact | 3059491275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Pediatrics Pa 1990 Ne 163rd Street Suite # 101 North Miami Beach FL 33162-4854 Ph: (305) 949-1275 | Sage Pediatrics Pa 1990 Ne 163rd St Suite # 101 North Miami Beach FL 33162-4854 Ph: (305) 949-1275 |
| NPI Number | 1710147533 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710147533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME 71575 (Florida) | Primary |
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