OrganizationChildrens Medical Association PaPediatricsAllopathic & Osteopathic PhysiciansPractice Address8430 W Broward Blvd Ste 300, Plantation, FL 33324-2700(954) 473-1011PECOS EnrollmentBased on the most recent information from CMS, provider Childrens Medical Association Pa 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 ID1942393749Provider TypeOrganizationFull NameChildrens Medical Association PaSubpartNoEnumeration Date10/2/2006Last Updated7/20/2021Contact InformationPractice LocationPractice Address8430 W Broward Blvd Ste 300, Plantation, FL 33324-2700Phone(954) 473-1011Fax(954) 473-8588Mailing LocationMailing Address8430 W Broward Blvd Ste 300, Plantation, FL 33324-2700Phone(954) 473-1011Fax(954) 473-8588Authorized OfficialNameShah, Lakesha (Office Manager)Phone(954) 722-0300Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID063024101DescriptionMedicaidIssuerUnlistedFlorida