Florida Pediatric Associates, LLC

NPI #1376846733 in Maitland, Florida

Provider Information

NPI Number: 1376846733
Entity Type: Organization
Organization Name: Florida Pediatric Associates, LLC
Primary Specialty: Pediatrics
Enumeration Date: Dec 7, 2010
Last Updated: Dec 7, 2010

Practice Location

Address: 790 CONCOURSE PKWY S
Address 2: SUITE 200
City: Maitland
State: Florida
ZIP Code: 32751-6114
Phone: (407) 767-6411

Authorized Official

Name: SHEILA A TATHAM
Title: CREDENTIALING MANAGER
Phone: (727) 456-4250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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