Shining Stars Pediatric Extended Care, LLC
NPI #1326647363 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1326647363
- Entity Type
- Organization
- Organization Name
- Shining Stars Pediatric Extended Care, LLC
- Primary Specialty
- Clinic/Center - Medically Fragile Infants and Children Day Care
- Enumeration Date
- Oct 21, 2020
- Last Updated
- Nov 8, 2022
Practice Location
- Address
- 5201 RAVENSWOOD RD STE 110
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33312-6004
- Phone
- (786) 496-0287
Authorized Official
- Name
- MRS. NATALIE MARTINEZ
- Title
- TITLE MANAGER
- Phone
- (305) 458-8688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medically Fragile Infants and Children Day Care — Medically Fragile Infants and Children Day Care |
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