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Wasserman Pediatrics, P.A.

Pediatrics in Orlando, FL. Organization (NPI-2).

NPI number1235166166
StatusActive
Last updated in NPPESJul 11, 2012

Details

NPI
1235166166
Entity type
Organization (NPI-2)
Legal business name
Wasserman Pediatrics, P.A.
Organization subpart
No
Enumeration date
Jun 27, 2006
Last updated
Jul 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsME0053446FLYes

Practice location

5844 N Orange Blossom Trl
Orlando, FL 32810-1025

Phone 407-578-2002 · Fax 407-578-2277

Mailing address

5844 N Orange Blossom Trl
Orlando, FL 32810-1025

Phone 407-578-2002 · Fax 407-578-2277

Authorized official

Lewis C Wasserman
President
4075782002

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