All Ages Pediatrics PA

NPI #1932728995 in Bonifay, Florida

Provider Information

NPI Number: 1932728995
Entity Type: Organization
Organization Name: All Ages Pediatrics PA
Primary Specialty: Pediatrics
Enumeration Date: Apr 10, 2020
Last Updated: Apr 22, 2020

Practice Location

Address: 2910 HOSPITAL DR
City: Bonifay
State: Florida
ZIP Code: 32425-4268
Phone: (850) 547-8158

Authorized Official

Name: KHALED AL-FARAWI, MD
Title: OWNER
Phone: (407) 496-8095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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