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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
DR. DACELIN ST. MARTIN MD (MEDICAL DIRECTOR/OWNER)
(352) 527-6888
Entity
Organization
Contact information
Practice address
1990 N PROSPECT AVE, LECANTO, FL 34461-9792
(352) 527-6888
(352) 527-8818
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 527-6888
(352) 527-8818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
246RM2200X
Medical Laboratory Technician
—
—
261Q00000X
Clinic/Center
10D1050573
FL
261QP2000X
Physical Therapy Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/11/2006
Last updated
02/13/2025
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