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Organization
RJ PEDIATRICS LLC
Active
Organization
RJ PEDIATRICS LLC
Active
Other names
Sunshine Pediatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROXENE RILES APRN (OWNER)
(727) 347-2557
Entity
Organization
Contact information
Practice address
3955 58TH ST N, ST PETERSBURG, FL 33709-6003
(727) 347-2557
Mailing address
PO BOX 66629, SAINT PETERSBURG, FL 33736-6629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020668300
—
FL
Enumeration date
06/18/2019
Last updated
06/18/2019
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