Advanced Care Pediatrics of Florida, LLC

NPI #1568170447 in Titusville, Florida

Provider Information

NPI Number
1568170447
Entity Type
Organization
Organization Name
Advanced Care Pediatrics of Florida, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ADVANCED CARE PEDIATRICS OF FLORIDA, LLC
Primary Specialty
Clinic/Center - Medically Fragile Infants and Children Day Care
Enumeration Date
Nov 9, 2022
Last Updated
Nov 9, 2022

Practice Location

Address
5670 S. WAHSINGTON AVE
State
Florida
ZIP Code
32780
Phone
(772) 321-1963

Authorized Official

Name
CRISTOL THERIEN-DOUGLAS, RN
Title
ADMINISTRATOR
Phone
(772) 321-1963

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, Inc.

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