Pediatric Specialty Group, INC

NPI #1598229890 in Palm City, Florida

Provider Information

NPI Number: 1598229890
Entity Type: Organization
Organization Name: Pediatric Specialty Group, INC
Subpart: Yes (part of a larger organization)
Parent Organization: PEDIATRIC SPECIALTY GROUP, INC.
Primary Specialty: Pediatrics
Enumeration Date: Jan 31, 2019
Last Updated: Jan 31, 2019

Practice Location

Address: 3228 SW MARTIN DOWNS BLVD
City: Palm City
State: Florida
ZIP Code: 34990-2679
Phone: (772) 286-8133

Authorized Official

Name: RAIZA BEATRIZ VIDAURRAZAGA
Title: SR. PROVIDER RELATIONS SPECIALIST
Phone: (786) 624-2186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Clinical & Laboratory Immunology — Clinical & Laboratory Immunology	2080I0007X
Pediatrics - Pediatric Cardiology — Pediatric Cardiology	2080P0202X
Pediatrics - Pediatric Endocrinology — Pediatric Endocrinology	2080P0205X
Pediatrics - Pediatric Gastroenterology — Pediatric Gastroenterology	2080P0206X
Pediatrics	208000000X	Primary

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