# WILLISTON PEDIATRICS, INC

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

## Provider details

- **NPI number:** 1326137001
- **Authorized official:** MS. ANDREA M QUINLAN (TREASURER)
- **Authorized official phone:** (352) 529-0477

## Contact information

- **Practice address:** 223 N MAIN ST, WILLISTON, FL 32696-2136
- **Practice address phone:** (352) 529-0477
- **Practice address fax:** (352) 529-0406
- **Mailing address:** 223 N MAIN ST, WILLISTON, FL 32696-2136
- **Mailing address phone:** (352) 529-0477
- **Mailing address fax:** (352) 529-0406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | FL | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 10/28/2020