Premier Care Pediatrics, PA

NPI #1346442506 in Lithia, Florida

Provider Information

NPI Number: 1346442506
Entity Type: Organization
Organization Name: Premier Care Pediatrics, PA
Primary Specialty: Pediatrics
Enumeration Date: Jun 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 16637 FISHHAWK BLVD
Address 2: SUITE 101
City: Lithia
State: Florida
ZIP Code: 33547-3918
Phone: (813) 657-7337

Authorized Official

Name: DR. MATTHEW CAMERON MINICK, MD
Title: PRESIDENT
Phone: (813) 657-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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