Organization
ACUTE CARE PEDIATRICS OF PALM COAST, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE TIU LPN (OFFICE MANAGER)
(386) 447-7337
Entity
Organization
Contact information
Practice address
397 PALM COAST PARKWAY SW, UNIT 303, PALM COAST, FL 32137
(386) 447-7337
(386) 447-7348
Mailing address
397 PALM COAST PARKWAY SW, UNIT 303, PALM COAST, FL 32137
(386) 447-7337
(386) 447-7348
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME 0075674
FL
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000387200
—
FL
01
—
009US
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
06/28/2006
Last updated
07/31/2023
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