Organization
LIGHTS OUT PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ANN RIDDLE ARNP (PRESIDENT/OWNER)
(352) 678-3100
Entity
Organization
Contact information
Practice address
3383 MARINER BLVD, SPRING HILL, FL 34609-2461
(352) 678-3100
(352) 678-3730
Mailing address
3383 MARINER BLVD, SPRING HILL, FL 34609-2461
(352) 678-3100
(352) 678-3730
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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