Provider Demographics
NPI:1952792806
Name:REIMON PEDIATRICS PA
Entity Type:Organization
Organization Name:REIMON PEDIATRICS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:REIMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-220-1310
Mailing Address - Street 1:13155 SW 42ND ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3428
Mailing Address - Country:US
Mailing Address - Phone:305-220-1310
Mailing Address - Fax:305-220-1323
Practice Address - Street 1:13155 SW 42ND ST
Practice Address - Street 2:SUITE 106
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3428
Practice Address - Country:US
Practice Address - Phone:305-220-1310
Practice Address - Fax:305-220-1323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME58770261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care