Pediatrics & Family Medicine of Buena Vista , LLC
NPI #1053747188 in Gainesville, Florida
Provider Information
- NPI Number
- 1053747188
- Entity Type
- Organization
- Organization Name
- Pediatrics & Family Medicine of Buena Vista , LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 20, 2013
- Last Updated
- Sep 20, 2013
Practice Location
- Address
- 10552 NW 13TH AVE
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32606-8088
- Phone
- (678) 570-5063
Authorized Official
- Name
- BILAL KHODR, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (352) 213-1243
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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