Provider Demographics
NPI:1043460389
Name:PHYSICIANS TO CHILDREN, LLC
Entity Type:Organization
Organization Name:PHYSICIANS TO CHILDREN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:NEWCOMM
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:305-446-2546
Mailing Address - Street 1:305 GRANELLO AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1806
Mailing Address - Country:US
Mailing Address - Phone:305-446-2546
Mailing Address - Fax:305-448-0219
Practice Address - Street 1:305 GRANELLO AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1806
Practice Address - Country:US
Practice Address - Phone:305-446-2546
Practice Address - Fax:305-448-0219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME569252080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty