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Organization

HERE WE GROW PEDIATRICS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELINOR MIRANDA MD (OWNER)
(727) 384-1217
Entity
Organization

Contact information

Practice address
6675 38TH AVE N, SUITE 101, ST PETERSBURG, FL 33710-1594
(727) 384-1217
(727) 384-3240
Mailing address
P.O. BOX 530072, ST PETERSBURG, FL 33710-5300
(727) 384-1217
(727) 384-3240

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME43809
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068656500
FL
05
263948300
FL
05
263948301
FL
Enumeration date
10/14/2005
Last updated
09/21/2012
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