Night Lite Pediatric Center, LLC
NPI #1104585132 in Winter Garden, Florida
Provider Information
- NPI Number
- 1104585132
- 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
- 13750 W COLONIAL DR
- City
- Winter Garden
- State
- Florida
- ZIP Code
- 34787-4204
- Phone
- (407) 398-6470
Authorized Official
- Name
- DANIELLE MARIE LOPEZ
- Title
- MANAGER CREDENTIALING/ ENROLLMENT
- Phone
- (516) 207-7936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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