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Pediatric Services Of America, Llc
Rehabilitation Clinic/Center in Melbourne, Florida
NPI 1952333122

Pediatric Services Of America, Llc is a Rehabilitation Clinic/Center based in Atlanta, FL and is specialized in Rehabilitation. Pediatric Services Of America, Llc practices in Melbourne, FL. The NPI Number for Pediatric Services Of America, Llc is 1952333122 and holds a License No. PPC6007096 (Florida).

The current practice location address for Pediatric Services Of America, Llc is 760 North Dr Ste E&F, Melbourne, FL and can be reached out via phone at 321-253-2000 and via fax at 321-259-6276.

Location: 760 North Dr Ste E&F, Melbourne, FL, 30339-5047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952333122
Provider Name
Pediatric Services Of America, Llc
Credential
Provider Entity Type
Organization
Address
760 North Dr Ste E&F, Melbourne, FL, 30339-5047
Phone Number
321-253-2000
Fax Number
321-259-6276
Provider Enumeration Date
07/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
685757496 05 FL
884161601 05 FL
300203900 05 FL
institution
Provider Business Practice Location Address Details
Address
760 North Dr Ste E&F
City
Melbourne
State
Florida
Zip
32934-9216
Phone Number
321-253-2000
Fax Number
321-259-6276
person
Provider Business Mailing Address Details
Address
760 North Dr Ste E&F
City
Melbourne
State
Florida
Zip
32934-9216
Phone Number
321-253-2000
Fax Number
321-259-6276
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medically Fragile Infants and Children Day Care
Taxonomy
261QM3000X
License No.
()
Definition
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
261QR0400X
License No.
PPC6007096 (Florida)
Definition
Definition to come...
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