Provider Demographics
NPI:1366632945
Name:WORLD WIDE PEDIATRICS, LLC
Entity Type:Organization
Organization Name:WORLD WIDE PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:MILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-975-5442
Mailing Address - Street 1:347 E GARDEN COVE CIR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-6709
Mailing Address - Country:US
Mailing Address - Phone:305-975-5442
Mailing Address - Fax:954-474-9661
Practice Address - Street 1:300 NW 70TH AVE
Practice Address - Street 2:SUITE # 107
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2384
Practice Address - Country:US
Practice Address - Phone:954-581-3100
Practice Address - Fax:954-581-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 95037208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty