| Pediatric Care Center No2 Inc | |
|
2135 S Congress Ave Ste 2b Palm Springs FL 33406-7611 | |
| (561) 641-0811 | |
| (561) 641-0813 |
| Full Name | Pediatric Care Center No2 Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 2135 S Congress Ave Ste 2b, Palm Springs, Florida |
| Authorized Official Name and Position | Armando Gonzalez (PRESIDENT/AO) |
| Authorized Official Contact | 5616410811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Care Center No2 Inc 2135 S Congress Ave Ste 2b Palm Springs FL 33406-7611 Ph: (561) 641-0811 | Pediatric Care Center No2 Inc 2135 S Congress Ave Ste 2b Palm Springs FL 33406-7611 Ph: (561) 641-0811 |
| NPI Number | 1386994952 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386994952 | NPI | - | NPPES |
| 003999000 | Medicaid | FL | |
| 251597100 | Medicaid | FL | |
| 114285600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME688588 (Florida) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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Prime Care Of Palm Beach P.l. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3199 Lake Worth Rd, Suite B4, Palm Springs, FL 33461 Phone: 561-296-2273 Fax: 561-296-0495 | |
Annapoorna Arunachalam Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3150 South Congress Ave, Palm Springs, FL 33414 Phone: 866-427-0850 Fax: 561-282-3238 | |
Soma Management Services Organization Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3129 S Congress Ave, Palm Springs, FL 33461 Phone: 561-559-2410 Fax: 561-209-0380 | |
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