Organization · Type 2 NPI

Csi-Pediatric Services, LLC

Health Service Clinic/Center · Florida City, FL

NPI number 1114301587 Active

Practice location

530 SW 1st St, Suite 301-304
Florida City, FL 33034-4806

Call (305) 967-0854 Map

Mailing address

15050 NW 79th Ct Ste 201
Miami Lakes, FL 33016-5810

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

NPI record

NPI: 1114301587
Entity type: Organization (Type 2)
Issued: Jul 16, 2015
Last updated: Jul 13, 2022
Status: Active
Subpart: Yes of Pediatric Holdings, LLC

Other names

<unavail>
Csi Special Care · doing business as
Csi Special Care · doing business as
Spark Pediatrics · other name

Authorized official

Donna Lodato, RN
CEO
(786) 522-9600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114301587

Csi-Pediatric Services, LLC's National Provider Identifier is 1114301587, issued on Jul 16, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Florida City, FL. The record was last updated on Jul 13, 2022.