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Organization
MAGNOLIA PEDIATRICS GROUP, LLC
Active
Organization
MAGNOLIA PEDIATRICS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD PATTERSON D.O (PHYSICIAN/OWNER)
(850) 878-5322
Entity
Organization
Contact information
Practice address
111 S MAGNOLIA DR STE 10, TALLAHASSEE, FL 32301-2956
(850) 878-5322
(850) 878-3120
Mailing address
111 S MAGNOLIA DR STE 10, TALLAHASSEE, FL 32301-2956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN9308662
FL
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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