Night Lite Pediatric Center, LLC

NPI #1154081123 in Melbourne, Florida

Provider Information

NPI Number: 1154081123
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: 145 PALM BAY RD NE
City: Melbourne
State: Florida
ZIP Code: 32904-8601
Phone: (321) 608-3595

Authorized Official

Name: DANIELLE MARIE LOPEZ
Title: MANAGER CREDENTIALING/ENROLLMENT
Phone: (516) 207-7936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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