Night Lite Pediatric Center, LLC

NPI #1093474025 in Lake Mary, Florida

Provider Information

NPI Number: 1093474025
Entity Type: Organization
Organization Name: Night Lite Pediatric Center, LLC
Primary Specialty: Pediatrics
Enumeration Date: Dec 17, 2021
Last Updated: Jan 21, 2025

Practice Location

Address: 3801 W LAKE MARY BLVD
City: Lake Mary
State: Florida
ZIP Code: 32746-6159
Phone: (407) 585-0568

Authorized Official

Name: DANIELLE MARIE LOPEZ
Title: MANAGER OF CREDENTIALING AND ENROL
Phone: (516) 207-7936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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