Pediatric Aba 5 INC
NPI #1124516752 in New Prt Rchy, Florida
Provider Information
- NPI Number
- 1124516752
- Entity Type
- Organization
- Organization Name
- Pediatric Aba 5 INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 30, 2018
- Last Updated
- Apr 30, 2018
Practice Location
- Address
- 5623 US HIGHWAY 19 STE 259
- City
- New Prt Rchy
- State
- Florida
- ZIP Code
- 34652-3752
- Phone
- (786) 597-2047
Authorized Official
- Name
- WANDY CACERES, ABABA
- Title
- CEO
- Phone
- (786) 597-2047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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