Advanced Care Pediatrics, Inc.

NPI #1306553672 in Titusville, Florida

Provider Information

NPI Number
1306553672
Entity Type
Organization
Organization Name
Advanced Care Pediatrics, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
ADVANCED CARE PEDIATRICS
Primary Specialty
Clinic/Center - Medically Fragile Infants and Children Day Care
Enumeration Date
Nov 4, 2022
Last Updated
Nov 4, 2022

Practice Location

Address
5670 S. WASHINGTON AVE
State
Florida
ZIP Code
32780
Phone
(772) 408-9588

Authorized Official

Name
CRISTOL THERIEN-DOUGLAS
Title
REGIONAL ADMINISTRATOR DIRECTOR
Phone
(772) 408-9588

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medically Fragile Infants and Children Day CareMedically Fragile Infants and Children Day Care

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Provider Name
Advanced Care Pediatrics of Florida, LLC

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