Organization
SUNSHINE STATE PEDIATRICS OF CENTRAL FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNA NICOLE KOVACS RN (OWNER)
(407) 977-1234
Entity
Organization
Contact information
Practice address
8000 RED BUG LAKE RD STE 280, OVIEDO, FL 32765-9267
(407) 977-1234
(407) 977-1235
Mailing address
PO BOX 623747, OVIEDO, FL 32762-3747
(407) 977-1234
(407) 977-1235
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
96797
FL
Other
Enumeration date
07/23/2009
Last updated
08/31/2012
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