Lighthouse Pediatrics Pllc

NPI #1043630353 in St Augustine, Florida

Provider Information

NPI Number
1043630353
Entity Type
Organization
Organization Name
Lighthouse Pediatrics Pllc
Primary Specialty
Pediatrics
Enumeration Date
Apr 25, 2014
Last Updated
Apr 25, 2014

Practice Location

Address
100 WHETSTONE PL
Address 2
SUITE 211
State
Florida
ZIP Code
32086-5774
Phone
(904) 342-7648

Authorized Official

Name
VINCENT LUZ, MD
Title
OWNER
Phone
(904) 342-7648

Specialties & Taxonomy Codes

Specialty
Pediatrics

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