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Organization

JVL MEVENT PLLC

Active
Other names
Sunshine Kids Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VALERIE GRACE DE LARA LEACH MD (MANAGER)
(904) 671-9995
Entity
Organization

Contact information

Practice address
266 PASEO REYES DR, ST AUGUSTINE, FL 32095-8462
(904) 671-9995
Mailing address
266 PASEO REYES DR, ST AUGUSTINE, FL 32095-8462
(904) 671-9995

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
06/29/2021
Last updated
06/29/2021
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