Provider Demographics
NPI:1487335170
Name:ALLEGRA FAMILY PEDIATRICS, PLLC
Entity type:Organization
Organization Name:ALLEGRA FAMILY PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JENNYFER
Authorized Official - Middle Name:P
Authorized Official - Last Name:UZOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-549-3274
Mailing Address - Street 1:4651 N STATE ROAD 7 STE 10
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4378
Mailing Address - Country:US
Mailing Address - Phone:954-866-5688
Mailing Address - Fax:
Practice Address - Street 1:4651 N STATE ROAD 7 STE 10
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4378
Practice Address - Country:US
Practice Address - Phone:954-866-5688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty