# ACCESS PEDIATRIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154195428
- **Authorized official:** MR. BRIAN EDWARD PEDDIE (CEO)
- **Authorized official phone:** (765) 652-4060

## Contact information

- **Practice address:** 747 SW 2ND AVE, GAINESVILLE, FL 32601-6279
- **Practice address phone:** (904) 290-1462
- **Mailing address:** 747 SW 2ND AVE, GAINESVILLE, FL 32601-6279
- **Mailing address phone:** (904) 290-1462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080P0214X | Pediatric Pulmonology Physician | — | NULL | Yes |
| 2080P0214X | Pediatric Pulmonology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 11/08/2023