Kidsville Pediatrics Iii, P.a.

NPI 1215901723 - Pediatrics - 208000000X

NPI Details
NPI 1215901723
Enumeration Date 02/14/2006
Last Updated 05/27/2011
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name VICTOR M. VICTOR
Position ADMINISTRATOR
Phone (352) 242-1021
Fax (352) 242-1104
Practice Location
1804 OAKLEY SEAVER BLVD
SUITE-C
CLERMONT FL, 34711-1925, US
Phone (352) 242-1021
Fax (352) 242-1104
Business Location
1804 OAKLEY SEAVER BLVD
SUITE-C
CLERMONT FL, 34711-1925, US
Phone (352) 242-1021
Fax (352) 242-1104
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number ME-0074421
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According to our database, Kidsville Pediatrics Iii, P.a. NPI is 1215901723, taxonomy code is 208000000X and license number is ME-0074421, license state is located at Florida. Kidsville Pediatrics Iii, P.a. physically located at 1804 Oakley Seaver Blvd, Clermont FL, 34711-1925. NPI Number 1033115704 has the healthcare provider type.

1215901723 NPI number is provided on an as is basis without warranty of any kind. 1215901723 is maintained by the National Plan & Provider Enumeration System. The contents of Kidsville Pediatrics Iii, P.a. are for informational purposes only.