Ocoee Pediatrics of Cleveland, PC

NPI #1174911838 in Cleveland, Tennessee

Provider Information

NPI Number
1174911838
Entity Type
Organization
Organization Name
Ocoee Pediatrics of Cleveland, PC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jan 5, 2015
Last Updated
Jan 5, 2015

Practice Location

Address
2825 WESTSIDE DR NW
Address 2
SUITE C
ZIP Code
37312-3504
Phone
(423) 614-3733

Authorized Official

Name
MRS. LISA DEFRIECE
Title
BILLING SUPERVISOR
Phone
(423) 339-2320

Specialties & Taxonomy Codes

Specialty
Specialist
Nurse Practitioner - FamilyFamily

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