Principal Pediatric Group Llc

NPI 1245621127 - Pediatrics - 208000000X

NPI Details
NPI 1245621127
Enumeration Date 02/12/2015
Last Updated 02/12/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name AYODEJI B AYODEJI
Position PRESIDENT
Phone (407) 398-6470
Fax (407) 894-6872
Practice Location
5900 S JOHN YOUNG PKWY
ORLANDO FL, 32839-3716, US
Phone (407) 398-6470
Fax (407) 894-6872
Business Location
844 N THORNTON AVE
ORLANDO FL, 32803-4003, US
Phone (407) 894-8768
Fax (407) 894-6872
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number ME58278
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According to our database, Principal Pediatric Group Llc NPI is 1245621127, taxonomy code is 208000000X and license number is ME58278, license state is located at Florida. Principal Pediatric Group Llc physically located at 5900 S John Young Pkwy, Orlando FL, 32839-3716. NPI Number 1033115704 has the healthcare provider type.

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1245621127 NPI number is provided on an as is basis without warranty of any kind. 1245621127 is maintained by the National Plan & Provider Enumeration System. The contents of Principal Pediatric Group Llc are for informational purposes only.