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Organization

WE CARE PEDIATRIC CC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER ALLEN KOSOFF MD (OWNER)
(813) 236-9310
Entity
Organization

Contact information

Practice address
9406 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-5116
(813) 236-9310
(813) 236-9311
Mailing address
PO BOX 1885, RIVERVIEW, FL 33568-1885
(813) 236-9310
(813) 236-9311

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME79005
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME79005
MEDICAL LICENSE
FL
Enumeration date
07/20/2007
Last updated
07/20/2007
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