Manor Plaza Pediatric Center Inc
Pediatrics
Manor Plaza Pediatric Center Inc is a Fort Lauderdale, Florida based Pediatric center with medical specialization in
General Pediatrics. Manor Plaza Pediatric Center Inc is doing business as
Minor Plaza Pediatric And General Medicine.
It is located at
1234 Ne 4th Ave, Fort Lauderdale, Florida - 33304-1925. They can be contacted on phone at
954-779-1667 and fax number 954-760-7253.
NPI number (Unique professional ID) for Manor Plaza Pediatric Center Inc is
1558657130 which was assigned by NPPES on 22 Jun, 2011 and it was last updated on 16 Feb, 2012.
Manor Plaza Pediatric Center Inc license number is
ME0042195 for Pediatrics (208000000X) in Florida.
Manor Plaza Pediatric Center Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Manor Plaza Pediatric Center Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Manor Plaza Pediatric Center Inc |
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| Other Name : | Minor Plaza Pediatric And General Medicine |
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Business Address:
Manor Plaza Pediatric Center Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1234 Ne 4th Ave
Fort Lauderdale, FL, 33304-1925
United States |
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| Phone Number : | 954-779-1667 |
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| Fax Number : | 954-760-7253 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1558657130 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 22 Jun, 2011 |
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| Last Updated On : | 16 Feb, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jean-wilner Mathieu |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | MEDICAL DIRECTOR |
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| Phone Number : | 954-779-1667 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Manor Plaza Pediatric Center Inc are as mentioned. Primary taxonomy code for Manor Plaza Pediatric Center Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208D00000X | General Practice | No | ME0042195 | FL |
| 208000000X | Pediatrics | Yes | ME0042195 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Manor Plaza Pediatric Center Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 062870100 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1234 Ne 4th Ave
Fort Lauderdale, FL, 33304-1925
United States |
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| Phone Number : | 954-779-1667 |
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| Fax Number : | 954-760-7253 |
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Business Location:
Patients can refer following map for directions to
Manor Plaza Pediatric Center Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.