Organization
WILLISTON PEDIATRICS, INC
Active
Parent organization
WILLISTON PEDIATRICS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLISTON PEDIATRICS, INC.
Authorized official
JAMES LEE QUINLAN APRN (PRESIDENT)
(352) 529-0477
Entity
Organization
Contact information
Practice address
223 N MAIN ST, WILLISTON, FL 32696-2136
(352) 529-0477
(352) 529-0406
Mailing address
223 N MAIN ST, WILLISTON, FL 32696-2136
(352) 529-0477
(352) 529-0406
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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