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Organization
PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA
Active
Organization
PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN MARCIA FENTON (OFFICE MANAGER)
(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
1990 N PROSPECT AVE, LECANTO, FL 34461-9792
(352) 527-6888
(352) 527-8818
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
1396805115
FL
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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