Organization
ALL STAR PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEELY SAUER (MANAGER)
(407) 240-5554
Entity
Organization
Contact information
Practice address
14065 TOWN LOOP BLVD, SUITE 300, ORLANDO, FL 32837-6199
(407) 240-5554
(407) 240-5543
Mailing address
14065 TOWN LOOP BLVD, SUITE 300, ORLANDO, FL 32837-6199
(407) 240-5554
(407) 240-5543
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0055614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0619388-00
—
FL
Enumeration date
03/31/2016
Last updated
03/31/2016
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