Organization
LOOP PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY MEHRA MD (OWNER)
(407) 483-5900
Entity
Organization
Contact information
Practice address
1136 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7559
(407) 483-5900
(407) 483-5902
Mailing address
14409 YAKIMA TRL, ORLANDO, FL 32837-5475
(407) 403-5450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME92812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274061300
—
FL
Enumeration date
12/27/2010
Last updated
12/27/2010
Update your record
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