Tlc Pediatric & Adolescent Medicine, P.a.

NPI #1629001425 in Orlando, Florida

Provider Information

NPI Number: 1629001425
Entity Type: Organization
Organization Name: Tlc Pediatric & Adolescent Medicine, P.a.
Primary Specialty: Pediatrics
Enumeration Date: Jul 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1834 N ALAFAYA TRL
Address 2: SUITE A
City: Orlando
State: Florida
ZIP Code: 32826-4743
Phone: (407) 380-9115

Authorized Official

Name: DEBBIE REYNOLDS-LACY, RN
Title: OFFICE MANAGER
Phone: (407) 380-9115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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