Advanced Pediatric Management, LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

ADVANCED PEDIATRIC MANAGEMENT, LLC

Doing business as

Martin County Ppec

Practice address

310 SW Ocean Blvd
Stuart, FL 34994-2007

Phone

(772) 288-6466

Fax

(772) 288-6475

NPI assigned

May 18, 2011

Last updated

May 18, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Evelyn D. Duah

Title

Director/Ceo/Administrator

Phone

(772) 288-6466

Specialties & licenses 1

Addresses

Other names 1

• MARTIN COUNTY PPEC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1003109315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SW OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942007",
            "telephone_number": "772-288-6466",
            "fax_number": "772-288-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SW OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942007",
            "telephone_number": "772-288-6466",
            "fax_number": "772-288-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PEDIATRIC MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "DUAH",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR/CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "772-288-6466",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTIN COUNTY PPEC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medically Fragile Infants and Children Day Care in Stuart, FL
• Providers in Stuart, FL by specialty
• Medically Fragile Infants and Children Day Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.