Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coral Ridge Pediatrics Inc

Organization Pediatrics Physician · NPI 1366113961

Coral Ridge Pediatrics Inc is a Pediatrics Physician in Fort Lauderdale, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

915 Middle River Dr Ste 209
Fort Lauderdale, FL 33304-3559
Phone: (954) 300-1736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1366113961
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Dietz — Office Manager · (212) 414-8297
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021
Mailing address915 Middle River Dr Ste 209, Fort Lauderdale, FL 33304-3559

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