Organization
PEDIATRICS OF CENTRAL FLORIDA P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPA DESAI (OFFICE MANAGER)
(407) 846-3455
Entity
Organization
Contact information
Practice address
3010 17TH ST, SAINT CLOUD, FL 34769-6011
(407) 891-0479
(407) 891-8775
Mailing address
801 W OAK ST STE 101, KISSIMMEE, FL 34741-6605
(407) 846-3455
(407) 846-7381
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104046600
—
FL
Enumeration date
09/02/2021
Last updated
09/02/2021
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