First Coast Pediatrics

NPI #1053432252 in Fernandina Beach, Florida

Provider Information

NPI Number: 1053432252
Entity Type: Organization
Organization Name: First Coast Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Apr 3, 2007
Last Updated: Mar 8, 2012

Practice Location

Address: 1463 NECTARINE ST
City: Fernandina Beach
State: Florida
ZIP Code: 32034-3027
Phone: (904) 491-0177

Authorized Official

Name: DR. CARMITA Z. MARRERO, MD
Title: PARTNER
Phone: (904) 491-0177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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