Organization
FIRST COAST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMITA Z. MARRERO MD (PARTNER)
(904) 491-0177
Entity
Organization
Contact information
Practice address
1463 NECTARINE ST, FERNANDINA BEACH, FL 32034-3027
(904) 491-0177
(904) 491-3173
Mailing address
1463 NECTARINE ST, FERNANDINA BEACH, FL 32034-3027
(904) 491-0177
(904) 491-3173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272357300
—
FL
Enumeration date
04/03/2007
Last updated
03/08/2012
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