Organization
LONGLEAF PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALERIE CELESTE BURNS M.D. (PEDIATRICIAN/OWNER)
(386) 532-0800
Entity
Organization
Contact information
Practice address
103 BIRCH AVE, ORANGE CITY, FL 32763-7003
(386) 532-0800
(386) 532-7005
Mailing address
PO BOX 740715, ORANGE CITY, FL 32774-0715
(386) 532-0800
(386) 532-7005
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
255837800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255837800
—
FL
Enumeration date
03/05/2015
Last updated
03/05/2015
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