Provider Demographics
NPI:1598340440
Name:PEEK A BOO PEDIATRIC CARE INC.
Entity Type:Organization
Organization Name:PEEK A BOO PEDIATRIC CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAMILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANIZARES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-343-3968
Mailing Address - Street 1:7777 DAVIE ROAD EXT STE 100A
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2514
Mailing Address - Country:US
Mailing Address - Phone:954-932-3600
Mailing Address - Fax:954-932-3603
Practice Address - Street 1:7777 DAVIE ROAD EXT STE 100A
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-2514
Practice Address - Country:US
Practice Address - Phone:954-932-3600
Practice Address - Fax:954-932-3603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care