Organization
PEDIATRIC ASSOCIATES OF ORLANDO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B DIDEA MD (PHYSICIAN, OWNER)
(407) 841-7296
Entity
Organization
Contact information
Practice address
414 N MILLS AVE, ORLANDO, FL 32803-5761
(407) 841-7296
(407) 872-3913
Mailing address
414 N MILLS AVE, ORLANDO, FL 32803-5761
(407) 841-7296
(407) 872-3913
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
05/15/2008
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