Organization
ALL WELL PEDIATRICS GROUP, P.A.
Active
Parent organization
ALL WELL PEDIATRICS GROUP, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALL WELL PEDIATRICS GROUP, P.A.
Authorized official
GOWTHAMAN PANDIAN (ADMINISTRATOR)
(813) 964-1800
Entity
Organization
Contact information
Practice address
1037 PROFESSIONAL PARK DR, BRANDON, FL 33511-4886
(813) 684-5659
(813) 685-2640
Mailing address
17541 N DALE MABRY HWY, LUTZ, FL 33548-4521
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
08/04/2026
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