Organization
PINELLASPEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JONES (OFFICE MANAGER)
(727) 461-3163
Entity
Organization
Contact information
Practice address
1105 S FORT HARRISON AVENUE, CLEARWATER, FL 33756-3907
(727) 461-3163
(717) 461-4037
Mailing address
1105 S FORT HARRISON AVE, CLEARWATER, FL 33756-3907
(727) 461-3163
(717) 461-4037
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
603261
FL
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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