Prime Pediatrics of Casselberry

NPI #1528489606 in Casselberry, Florida

Provider Information

NPI Number: 1528489606
Entity Type: Organization
Organization Name: Prime Pediatrics of Casselberry
Primary Specialty: Pediatrics
Enumeration Date: Dec 17, 2013
Last Updated: Dec 17, 2013

Practice Location

Address: 3950 S HWY 17/92
Address 2: STE 2024
City: Casselberry
State: Florida
ZIP Code: 32707-3295
Phone: (407) 809-5562

Authorized Official

Name: SALMA ELFAKI, MD
Title: MEMBER
Phone: (407) 809-5562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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