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Organization
URQUIZA PEDIATRICS
Active
Organization
URQUIZA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI MORRIS (BILLING AGENT)
(863) 534-3259
Entity
Organization
Contact information
Practice address
1545 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3246
(863) 686-5943
(863) 686-4013
Mailing address
1545 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3246
(863) 686-5943
(863) 686-4013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME14800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254900000
—
FL
01
—
D56485
UPIN
FL
01
—
ME-14800
STATE LICENSE
—
Enumeration date
04/29/2010
Last updated
04/29/2010
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