Organization
EAST LAKE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARIE MONTGOMERY (MANAGER)
(727) 372-6760
Entity
Organization
Contact information
Practice address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808
Mailing address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME86866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS9496
LICENSE NUMBER
FL
Enumeration date
04/09/2007
Last updated
02/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us