Organization
PRINCIPAL PEDIATRIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYODEJI B OTEGBEYE MD (PRESIDENT)
(407) 894-8768
Entity
Organization
Contact information
Practice address
5900 S JOHN YOUNG PKWY, ORLANDO, FL 32839-3716
(407) 398-6470
(407) 894-6872
Mailing address
844 N THORNTON AVE, ORLANDO, FL 32803-4003
(407) 894-8768
(407) 894-6872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME58278
FL
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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