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Organization
PEDIATRIA HEALTHCARE, LLC
Active
Organization
PEDIATRIA HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN ELIZABETH DIGNAN (GENERAL COUNSEL)
(770) 840-1966
Entity
Organization
Contact information
Practice address
1236 BLOUNTSTOWN HWY, BUILDING 5, TALLAHASSEE, FL 32304-2715
(850) 701-3920
(850) 701-3924
Mailing address
5185 PEACHTREE PKWY, SUITE 350, NORCROSS, GA 30092-6542
(770) 840-1966
(770) 840-1901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240024300
—
FL
Enumeration date
10/14/2008
Last updated
10/14/2008
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