| Pediatrics Alliance, LLC. | |
|
1111 12th St Suite 311 Key West FL 33040-4088 | |
| (305) 295-6700 | |
| (305) 295-6600 |
| Full Name | Pediatrics Alliance, LLC. |
|---|---|
| Speciality | Clinic/center |
| Location | 1111 12th St, Key West, Florida |
| Authorized Official Name and Position | Steven Takas (PRESIDENT) |
| Authorized Official Contact | 3052956700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrics Alliance, LLC. 1111 12th St Suite 311 Key West FL 33040-4088 Ph: (305) 295-6700 | Pediatrics Alliance, LLC. 1111 12th St Suite 311 Key West FL 33040-4088 Ph: (305) 295-6700 |
| NPI Number | 1447591748 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 03/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447591748 | NPI | - | NPPES |
| 273712400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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