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Organization

PEDIATRICS PLUS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA NELSON (OWNER PRESIDENT)
(850) 769-5371
Entity
Organization

Contact information

Practice address
927 GRACE AVE, PANAMA CITY, FL 32401-2521
(850) 769-5371
(850) 872-9558
Mailing address
927 GRACE AVE, PANAMA CITY, FL 32401-2521
(850) 769-5371
(850) 872-9558

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT22753
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001086000
FL
Enumeration date
05/17/2011
Last updated
05/17/2011
About Stedi
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