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Altamonte Pediatric Associates

Pediatrics in Altamonte Springs, FL. Organization (NPI-2).

NPI number1982806188
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1982806188
Entity type
Organization (NPI-2)
Legal business name
Altamonte Pediatric Associates
Organization subpart
No
Enumeration date
Jun 1, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Other names

  • Lake Mary Office (Other Name)

Practice location

475 Osceola St
#1100
Altamonte Springs, FL 32701-7857

Phone 407-831-6200

Mailing address

475 Osceola St
#1100
Altamonte Springs, FL 32701-7857

Phone 407-831-6200

Authorized official

Wayne Soven
Vice President
4078316200

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