First Coast Pediatrics,pa

NPI 1770516924 - Clinic/Center - 261QP2300X

NPI Details
NPI 1770516924
Enumeration Date 07/09/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DWIGHT DWIGHT
Position OWNER
Phone (386) 328-5437
Fax (386) 328-5464
Practice Location
397 PALM COAST PKWY SW
UNIT302
PALM COAST FL, 32137-4776, US
Phone (386) 328-5437
Fax (386) 328-5464
Business Location
397 PALM COAST PKWY SW
UNIT302
PALM COAST FL, 32137-4776, US
Phone (386) 328-5437
Fax (386) 328-5464
Toxanomy
Taxonomy Code 261QP2300X
License State Florida
License Number ME 0075674
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According to our database, First Coast Pediatrics,pa NPI is 1770516924, taxonomy code is 261QP2300X and license number is ME 0075674, license state is located at Florida. First Coast Pediatrics,pa physically located at 397 Palm Coast Pkwy Sw, Palm Coast FL, 32137-4776. NPI Number 1033115704 has the healthcare provider type.

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1770516924 NPI number is provided on an as is basis without warranty of any kind. 1770516924 is maintained by the National Plan & Provider Enumeration System. The contents of First Coast Pediatrics,pa are for informational purposes only.