Organization
DR PANICKER AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USHA PANICKER MD (PRESIDENT)
(727) 849-2535
Entity
Organization
Contact information
Practice address
5411 GRAND BLVD, SUITE 102, NEW PORT RICHEY, FL 34652-4010
(727) 849-2535
Mailing address
5411 GRAND BLVD, SUITE 102, NEW PORT RICHEY, FL 34652-4010
(727) 849-2535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME86983
FL
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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