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Organization

ABRAKIDABRA PEDIATRIC CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HEATHER RIDDLE A.R.N.P. (PRESIDENT)
(352) 688-8818
Entity
Organization

Contact information

Practice address
8391 OMAHA CIR, SPRING HILL, FL 34606-5157
(352) 688-8818
(877) 487-5705
Mailing address
8391 OMAHA CIR, SPRING HILL, FL 34606-5157
(352) 688-8818
(877) 487-5705

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9175935
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002184400
FL
05
306155800
FL
Enumeration date
08/26/2008
Last updated
04/04/2024
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