# PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS, PA

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

## Provider details

- **NPI number:** 1437575693
- **Authorized official:** MS. KAREN MARCIA FENTON (OFFICE MANAGER)
- **Authorized official phone:** (352) 527-6888

## Contact information

- **Practice address:** 1990 N PROSPECT AVE, LECANTO, FL 34461-9792
- **Practice address phone:** (352) 527-6888
- **Practice address fax:** (352) 527-8818
- **Mailing address:** 1990 N PROSPECT AVE, LECANTO, FL 34461-9792
- **Mailing address phone:** (352) 527-6888
- **Mailing address fax:** (352) 527-8818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 1396805115 | FL | Yes |

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 03/12/2014