Kidsville Pediatrics Vi, PA After Hours Clinic

NPI #1750676581 in Orlando, Florida

Provider Information

NPI Number: 1750676581
Entity Type: Organization
Organization Name: Kidsville Pediatrics Vi, PA After Hours Clinic
Primary Specialty: Pediatrics
Enumeration Date: Jun 9, 2011
Last Updated: Aug 13, 2019

Practice Location

Address: 11886 LAKE UNDERHILL RD
City: Orlando
State: Florida
ZIP Code: 32825-4436
Phone: (407) 447-7773

Authorized Official

Name: MR. VICTOR MANUEL PANTOJA JR.
Title: CFO/ADMINISTRATOR
Phone: (407) 447-7773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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