Lee Vista Pediatrics

NPI #1093955940 in Orlando, Florida

Provider Information

NPI Number: 1093955940
Entity Type: Organization
Organization Name: Lee Vista Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Mar 4, 2009
Last Updated: Mar 4, 2009

Practice Location

Address: 815 WOODBURY RD
Address 2: SUITE 102
City: Orlando
State: Florida
ZIP Code: 32828-4515
Phone: (407) 208-9870

Authorized Official

Name: MARCIA GAYOSO, MD
Title: PRESIDENT
Phone: (407) 208-9870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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