Individual ProviderSofia KhanPediatricsAllopathic & Osteopathic PhysiciansPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334(954) 424-7000PECOS EnrollmentBased on the most recent information from CMS, provider Sofia Khan 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 ID1760471569Provider TypeIndividualFull NameKhan, SofiaCredentialMDGenderFemaleSole ProprietorYesEnumeration Date10/14/2005Last Updated7/7/2023Contact InformationPractice LocationPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334Phone(954) 424-7000Fax(954) 424-6003Mailing LocationMailing Address900 S Pine Island Rd, Ste 800, Plantation, FL 33324-3920Phone(954) 424-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME60873FloridaProvider IdentifiersIDDescriptionIssuerID373559100DescriptionMedicaidIssuerUnlistedFlorida