Hometown Pediatrics LLC
NPI #1720531650 in The Villages, Florida
Provider Information
- NPI Number
- 1720531650
- Entity Type
- Organization
- Organization Name
- Hometown Pediatrics LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jul 27, 2016
- Last Updated
- Jul 27, 2016
Practice Location
- Address
- 1400 N US HIGHWAY 441
- Address 2
- SUITE 522
- City
- The Villages
- State
- Florida
- ZIP Code
- 32159-8975
- Phone
- (352) 674-8905
Authorized Official
- Name
- THOMAS MENICHINO
- Title
- CEO OF MANAGING COMPANY
- Phone
- (352) 674-8905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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