Coral Ridge Pediatrics Inc
Coral Ridge Pediatrics Inc provides Pediatrics Physician services in Fort Lauderdale, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
915 Middle River Dr Ste 209Fort Lauderdale, FL 33304-3559
Phone: (954) 300-1736
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1366113961 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Dietz — Office Manager · (212) 414-8297 |
| NPI enumerated | September 23, 2021 |
| Last updated in NPPES | September 23, 2021 |
| Certification date | September 23, 2021 |
| Mailing address | 915 Middle River Dr Ste 209, Fort Lauderdale, FL 33304-3559 |
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Anna Debonaventura, MD
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Alexis Dietz, DO
915 Middle River Dr Ste 209, Fort Lauderdale, FL 33304-3559 · (954) 300-1736
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