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Organization

GROWING CHILD PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA A MAHAFFEY M.D. (OWNER)
(850) 994-5010
Entity
Organization

Contact information

Practice address
5565 WOODBINE RD, PACE, FL 32571-8768
(850) 994-5010
(850) 994-0272
Mailing address
5565 WOODBINE RD, PACE, FL 32571-8768
(850) 994-5010
(850) 994-0272

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/21/2007
Last updated
08/22/2020
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