Island Coast Pediatrics

NPI 1215962386 - Pediatrics - 208000000X

NPI Details
NPI 1215962386
Enumeration Date 07/11/2006
Last Updated 09/03/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HOLLY HOLLY
Position PRACTICE ADMINISTRAT
Phone (239) 768-2111
Fax (239) 768-2113
Practice Location
13650 METROPOLIS AVENUE
SUITE 101
FORT MYERS FL, 33912, US
Phone (239) 768-2111
Fax (239) 768-2113
Business Location
12550 PROFESSIONAL PARK DRIVE
SUITE 11
FORT MYERS FL, 33913, US
Phone (239) 768-2111
Fax (239) 482-4404
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number =========
Remove 1215962386 NPI Number
 

According to our database, Island Coast Pediatrics NPI is 1215962386, taxonomy code is 208000000X and license number is =========, license state is located at Florida. Island Coast Pediatrics physically located at 13650 Metropolis Avenue, Fort Myers FL, 33912. NPI Number 1033115704 has the healthcare provider type.

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1215962386 NPI number is provided on an as is basis without warranty of any kind. 1215962386 is maintained by the National Plan & Provider Enumeration System. The contents of Island Coast Pediatrics are for informational purposes only.