Organization
CHILDREN'S SPECIALIST PEDIATRIC PULMONOLOGY OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN WEGELIN (OFFICE ADMINISTRATOR)
(239) 437-5500
Entity
Organization
Contact information
Practice address
12748 UNIVERSITY DR, FORT MYERS, FL 33907-5634
(239) 464-8089
(239) 437-5507
Mailing address
12748 UNIVERSITY DR, FORT MYERS, FL 33907-5634
(239) 437-5500
(239) 437-5507
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0091014
FL
Other
Enumeration date
10/18/2007
Last updated
04/17/2023
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