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PEDIATRIC MEDICAL DAYCARE OF FORT LAUDERDALE LLC NPI 1013639673


NPI Information

NPI: 1013639673
Provider Name: PEDIATRIC MEDICAL DAYCARE OF FORT LAUDERDALE, LLC
Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

Address:
2122 NW 62ND ST STE 103
FORT LAUDERDALE, FL
ZIP 33309
Phone: (954) 838-5288
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PEDIATRIC MEDICAL DAYCARE OF FORT LAUDERDALE, LLC is a medically fragile infants and children day care clinic center in Fort Lauderdale, FL. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). PEDIATRIC MEDICAL DAYCARE OF FORT LAUDERDALE, LLC NPI is 1013639673. The provider is registered as an organization entity type.

The provider's business location address is:

2122 NW 62ND ST STE 103
FORT LAUDERDALE, FL
ZIP 33309-866
Phone: (954) 838-5288

The provider's authorized official is Karrie A Toms .
The authorized official title is Cfo and has the following contact phone number (954) 731-3350.

The enumeration date for this NPI number is 9/12/2022 and was last updated on 4/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareNo
2261Q00000XClinic/CenterNo
3261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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