Progressive Pediatrics of Orlando PA

NPI #1992730550 in Longwood, Florida

Provider Information

NPI Number
1992730550
Entity Type
Organization
Organization Name
Progressive Pediatrics of Orlando PA
Primary Specialty
Pediatrics
Enumeration Date
Jul 12, 2006
Last Updated
May 14, 2008

Practice Location

Address
521 W STATE ROAD 434
Address 2
SUITE 101
State
Florida
ZIP Code
32750
Phone
(407) 830-5437

Authorized Official

Name
ALFONSO MIRELES, MD
Title
OWNER
Phone
(407) 830-5437

Specialties & Taxonomy Codes

Specialty
Pediatrics

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