Sunshine Pediatric Clinic PA

NPI #1811396419 in Port St Lucie, Florida

Provider Information

NPI Number: 1811396419
Entity Type: Organization
Organization Name: Sunshine Pediatric Clinic PA
Primary Specialty: Pediatrics
Enumeration Date: Aug 19, 2014
Last Updated: Aug 19, 2014

Practice Location

Address: 1973 SW SAVAGE BLVD
Address 2: SUITE 205
City: Port St Lucie
State: Florida
ZIP Code: 34953-2791
Phone: (772) 446-7800

Authorized Official

Name: DR. KABIR AHMED, M.D
Title: PRESIDENT
Phone: (772) 446-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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