| Organization Name: | ADVANCED PEDIATRIC MANAGEMENT, LLC |
| NPI Number: | 1003109315 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVELYN D. DUAH (DIRECTOR/CEO/ADMINISTRATOR) |
| Mailing Address: | 310 Sw Ocean Blvd Stuart |
| State: | FL US |
| Postal Code: | 349942007 |
| Phone Number: | 7722886466 |
| Fax Number: | 7722886475 |
| NPI Enumeration Date: | 05/18/2011 |
| NPI Last Update Date: | 05/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM3000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Medically Fragile Intants and Children Day Care |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |