Organization
PEDIATRIC ASSOCIATES PA
Active
Parent organization
PEDIATRIC ASSOCIATES PA
Other names
Pediataic Associates PA-
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ASSOCIATES PA
Authorized official
DEBBIE CHAVERS (PRACTICES ADMINISTRATOR)
(850) 478-1100
Entity
Organization
Contact information
Practice address
4435 HIGHWAY 90, PACE, FL 32571-2066
(850) 994-0901
(850) 994-2737
Mailing address
4435 HIGHWAY 90, PACE, FL 32571-2066
(850) 994-0901
(850) 994-2740
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280234101
—
FL
Enumeration date
03/14/2013
Last updated
03/26/2018
Update your record
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