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NPI Verification

National Provider Identifier: 1790493120

4th Trimester Place

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

14359 MIRAMAR PKWY # 139

MIRAMAR, FL 330274134

NPI Enumeration Date

November 15, 2022

NPI Number

1790493120

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry