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Organization

EVENING PEDIATRICS INC

Active
Parent organization
EVENING PEDIATRICS
Other names
Your Kids Urgent Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
EVENING PEDIATRICS
Authorized official
MICHAEL CIBRAN (PRESIDENT)
(727) 688-8515
Entity
Organization

Contact information

Practice address
4586 E MICHIGAN ST, ORLANDO, FL 32812-5233
(407) 751-2297
Mailing address
2115 CENTRAL AVE, ST PETERSBURG, FL 33713-8815
(727) 526-9135

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QU0200X
Urgent Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277728205
FL
Enumeration date
12/17/2018
Last updated
02/27/2024
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