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Organization
ADVANCED PEDIATRIC SPECIALISTS LLC
Active
Organization
ADVANCED PEDIATRIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COFFEY MD (PRESIDENT)
(912) 295-2133
Entity
Organization
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 819-6000
(386) 274-7801
Mailing address
PO BOX 12189, DAYTONA BEACH, FL 32120-2189
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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