Organization
SEBRING PEDIATRICS., L.L.C.
Active
Other names
SEBRING PEDIATRICS, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEEN KRISHNADAS M.D. (MEDICAL DIRECTOR AND MANAGER)
(863) 382-0770
Entity
Organization
Contact information
Practice address
3201 MEDICAL WAY, SUITE 101, SEBRING, FL 33870-5412
(863) 382-0770
(863) 471-9968
Mailing address
3201 MEDICAL WAY, SUITE 101, SEBRING, FL 33870-5412
(863) 382-0770
(863) 471-9968
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33877
BLUECROSS BLUE SHIELD OF
FL
05
—
377682400
—
FL
05
—
377682401
—
FL
Enumeration date
12/13/2006
Last updated
07/30/2020
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