Provider Demographics
NPI:1235584160
Name:SOUTH FLORIDA PEDIATRIC HOSPITALISTS
Entity Type:Organization
Organization Name:SOUTH FLORIDA PEDIATRIC HOSPITALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARANTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-445-8203
Mailing Address - Street 1:17105 GULF PINE CIR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6354
Mailing Address - Country:US
Mailing Address - Phone:561-445-8203
Mailing Address - Fax:561-828-6236
Practice Address - Street 1:17105 GULF PINE CIR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6354
Practice Address - Country:US
Practice Address - Phone:561-445-8203
Practice Address - Fax:561-828-6236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty