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Organization
OCOEE PEDIATRICS OF CLEVELAND, PC
Active
Organization
OCOEE PEDIATRICS OF CLEVELAND, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DEFRIECE (BILLING SUPERVISOR)
(423) 339-2320
Entity
Organization
Contact information
Practice address
2825 WESTSIDE DR NW, SUITE C, CLEVELAND, TN 37312-3504
(423) 614-3733
(423) 614-3738
Mailing address
2825 WESTSIDE DR NW, SUITE C, CLEVELAND, TN 37312-3504
(423) 614-3733
(423) 614-3738
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
021336
TN
363LF0000X
Family Nurse Practitioner
Primary
17785
TN
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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