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Organization
PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC
Active
Organization
PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC
Active
Other names
PedIM Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN C MAJOR (CREDENTIALING SPECIALIST)
(352) 684-8736
Entity
Organization
Contact information
Practice address
3580 E GULF TO LAKE HWY, INVERNESS, FL 34453-3207
(352) 527-6888
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 684-8736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/24/2023
Last updated
02/13/2025
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