Organization
OOONEMOURSCHILDRENHOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN NATHONSON (PULMONOLGY)
(407) 650-7000
Entity
Organization
Contact information
Practice address
4800 ARCHER CT, TITUSVILLE, FL 32796-1013
(321) 268-0865
Mailing address
4800 ARCHER CT, TITUSVILLE, FL 32796-1013
(321) 268-0865
Taxonomy
Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
Primary
RT3897
FL
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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