MCH PEDIATRIC CARDIOLOGY, LLC


Address: 12989 Southern Boulevard Palms West, Mob IIi Suite 203, Loxahatchee, FL 33470
Phone: 5613837113

MCH PEDIATRIC CARDIOLOGY, LLC (NPI# 1083927537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083927537
Entity Type Organization
Organization Name MCH PEDIATRIC CARDIOLOGY, LLC
Practice Address 12989 Southern Boulevard Palms West
Mob IIi Suite 203
Loxahatchee
FL 33470
Mailing Address Po Box 557367
Miami
FL 33255-7367
Practice Telephone 5613837113
Mailing Telephone 7866245845
Mailing Fax Number 7866242688
Enumeration Date 2010-07-26
Last Update Date 2010-07-26
Authorized Official Name PEDRO ALFARO (SENIOR VP & CFO)
Authorized Official Telephone 3056666511
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285945493 Mch Pediatric Cardiology, LLC Radiology 13400 Sw 120th St, Suite 200, Miami, FL 33186-7440 2010-06-23

Office Location

Street Address 12989 SOUTHERN BOULEVARD PALMS WEST
MOB III SUITE 203
City LOXAHATCHEE
State FL
Zip Code 33470

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NPI Name Taxonomy Address Enumeration
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1952870818 Luz Miryan Alexandra Torrente Behavior Technician 15932 75th Ln, Loxahatchee, FL 33470 2018-11-20
1508365495 Simone E Mack Counselor 17334 W. Sycamore Dr., Loxahatchee, FL 33470 2018-02-06
1578083218 Lugdie Marguerite Jonassaint Registered Nurse 14842-69 Street N., Treasured Lives Alf Inc C/o Lugdie Jonassaint, Loxahatchee, FL 33470 2017-06-23
1255877932 Jose Desmarais Nurse Practitioner 12953 Palms West Dr Ste 102, Loxahatchee, FL 33470 2017-01-18
1457704314 Premier Transitions Mht LLC Internal Medicine 17888 67th Court North, Loxahatchee, FL 33470 2016-07-15
1851747083 Groves Dental Care P.a. Clinic/Center 15673 Southern Blvd., 109, Loxahatchee Groves, FL 33470 2016-05-06
1376959486 Yun-long Chi Acupuncturist 12957 Palms West Dr Ste 201, Loxahatchee, FL 33470 2014-07-09
1629334081 Kui-tzu Victoria Feng Internal Medicine 12957 Palms West Dr Ste 204, Loxahatchee, FL 33470 2012-04-10
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326503442 Gerold Ludwig Schiebler Pediatrics 408 Beachside Pl, Amelia Island, FL 32034-6551 2019-02-02
1558850149 South Broward Hospital District Pediatrics 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 2018-05-09
1124446182 Kinjal Parikh Pediatrics 3100 Sw 62nd Ave Dept of Medical Education, Miami, FL 33155 2014-04-06
1154694016 Kidz Medical Services Pediatrics 5325 Greenwood Ave Ste 202, West Palm Beach, FL 33407-2452 2012-02-22
1932477023 Samir M. Ebeid Pediatrics 2202 State Ave Ste 302, Panama City, FL 32405 2011-12-05
1407023310 Salvatore Joseph Buonaiuto Pediatrics 601 E. Rollins St., Florida Hospital for Children, Orlando, FL 32803 2008-05-09
1801060652 Sumbal Sattar Pediatrics 512 W Cherry St Ste D, Kissimmee, FL 34741-4114 2008-04-14
1871613620 Carlo M Zeidenweber Pediatrics 9980 Central Park Blvd N Ste 318, Boca Raton, FL 33428-1704 2007-03-29
1295874113 Ramon Rodriguez-torres Pediatrics 13911 Sw 103rd Ave, Miami, FL 33176-6614 2007-02-06
1649326232 Anna Bernus Pediatrics 3003 W. Dr. Martin Luther King Jr. Blvd, 3rd Floor, Medical Arts Building, Tampa, FL 33607 2007-01-26
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Competitor

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City LOXAHATCHEE
Zip Code 33470

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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