OrganizationPediatric Associates Of Northeast Florida, Llc(<Unavail>)PediatricsAllopathic & Osteopathic PhysiciansPractice Address900 S Pine Island Rd, Suite 800, Plantation, FL 33324-3920(954) 967-6400PECOS EnrollmentBased on the most recent information from CMS, provider Pediatric Associates Of Northeast Florida, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1609290477Provider TypeOrganizationFull NamePediatric Associates Of Northeast Florida, LlcOther Name<Unavail>SubpartYesEnumeration Date2/13/2014Last Updated8/25/2020Contact InformationPractice LocationPractice Address900 S Pine Island Rd, Suite 800, Plantation, FL 33324-3920Phone(954) 967-6400Fax(954) 965-7339Mailing LocationMailing Address900 S Pine Island Rd, Suite 800, Plantation, FL 33324-3920Phone(954) 967-6400Fax(954) 965-7339Authorized OfficialNameShulman, Peter J (Ceo)Phone(954) 967-6400Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer