Organization
BANYAN PEDIATRIC CARE CENTERS - ST PETERSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET HUFFMAN (CFO)
(941) 342-9721
Entity
Organization
Contact information
Practice address
850 3RD AVE S, ST PETERSBURG, FL 33701-4010
(727) 821-5439
(727) 821-9459
Mailing address
5973 CATTLEMEN LN, SARASOTA, FL 34232-6200
(941) 342-9721
(941) 296-7677
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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