Pediatric Services of America, LLC

NPI #1952333122 in Melbourne, Florida

Provider Information

NPI Number: 1952333122
Entity Type: Organization
Organization Name: Pediatric Services of America, LLC
Primary Specialty: Clinic/Center - Medically Fragile Infants and Children Day Care
Enumeration Date: Jul 7, 2006
Last Updated: Jan 27, 2025

Practice Location

Address: 760 NORTH DR STE E&F
City: Melbourne
State: Florida
ZIP Code: 32934-9216
Phone: (321) 253-2000

Authorized Official

Name: MATTHEW BUCKHALTER
Title: CFO
Phone: (470) 464-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Clinic/Center - Medically Fragile Infants and Children Day Care — Medically Fragile Infants and Children Day Care	261QM3000X	Primary

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