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Organization

FIRST PLACE PEDIATRICS, LLC

Active
Parent organization
FPPS-CALIFORNIA, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FPPS-CALIFORNIA, LLC
Authorized official
DON WILLIAM MANICCIA JR. (PRESIDENT / SECRETARY)
(512) 914-2267
Entity
Organization

Contact information

Practice address
9011 MOUNTAIN RIDGE DR STE 130, AUSTIN, TX 78759-7394
(512) 914-2267
Mailing address
9011 MOUNTAIN RIDGE DR STE 130, AUSTIN, TX 78759-7394

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
07/23/2024
Last updated
07/23/2024
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