| Pediatric Medical Associates, Llc. | |
|
4445 Pine Forest Dr Lake Worth FL 33463-4676 | |
| (800) 990-0340 | |
| Not Available |
| Full Name | Pediatric Medical Associates, Llc. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 4445 Pine Forest Dr, Lake Worth, Florida |
| Authorized Official Name and Position | Todd Branstetter (CFO) |
| Authorized Official Contact | 8009900340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Medical Associates, Llc. Po Box 542590 Greenacres FL 33454-2590 Ph: (800) 990-0340 | Pediatric Medical Associates, Llc. 4445 Pine Forest Dr Lake Worth FL 33463-4676 Ph: (800) 990-0340 |
| NPI Number | 1700213485 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 02/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700213485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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