Organization
LEE VISTA PEDIATRICS
Active
Other names
MARCIA GAYOSO PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA GAYOSO MD (PRESIDENT)
(407) 208-9870
Entity
Organization
Contact information
Practice address
815 WOODBURY RD, SUITE 102, ORLANDO, FL 32828-4515
(407) 208-9870
(407) 208-9868
Mailing address
815 WOODBURY RD, SUITE 102, ORLANDO, FL 32828-4515
(407) 208-9870
(407) 208-9868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0084749
FL
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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