Pediatric Associates PA

NPI #1124369160 in Pace, Florida

Provider Information

NPI Number: 1124369160
Entity Type: Organization
Organization Name: Pediatric Associates PA
Subpart: Yes (part of a larger organization)
Parent Organization: PEDIATRIC ASSOCIATES PA
Primary Specialty: Pediatrics
Enumeration Date: Mar 14, 2013
Last Updated: Mar 26, 2018

Practice Location

Address: 4435 HIGHWAY 90
City: Pace
State: Florida
ZIP Code: 32571-2066
Phone: (850) 994-0901

Authorized Official

Name: DEBBIE CHAVERS
Title: PRACTICES ADMINISTRATOR
Phone: (850) 478-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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