Dr. Rosie'S Pediatrics
Pediatrics in Port Saint Lucie, FL. Organization (NPI-2).
NPI number1336496629
StatusActive
Last updated in NPPESDec 22, 2021
Details
- NPI
- 1336496629
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Rosie'S Pediatrics
- Organization subpart
- No
- Enumeration date
- Aug 6, 2012
- Certification date
- Dec 22, 2021
- Last updated
- Dec 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME91787 | FL | Yes |
Other names
- Kid'S Place Pediatrics, P.A. (Doing Business As)
Practice location
466 Sw Port Saint Lucie Blvd., Suite 116Port Saint Lucie, FL 34953-2091
Phone 772-341-7433 · Fax 772-237-4622
Mailing address
466 Sw Port Saint Lucie Blvd., Suite 116Port Saint Lucie, FL 34953-2091
Phone 772-341-7433 · Fax 772-237-4622
Authorized official
Rosario Correa
Owner
7723417433
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