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Organization

BEE WELL PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VERONICA D ESPINOZA MD (OWNER)
(772) 236-9860
Entity
Organization

Contact information

Practice address
10521 SW VILLAGE CENTER DR, 101-A, PORT ST LUCIE, FL 34987-1930
(772) 873-7114
(772) 873-7115
Mailing address
PO BOX 880313, PORT ST LUCIE, FL 34988-0313
(772) 873-7114
(772) 873-7115

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME93497
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
281166900
FL
Enumeration date
10/08/2015
Last updated
12/10/2015
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