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Organization

MARION PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YVES-LANDE PIERRE MD (OWNER)
(352) 369-1001
Entity
Organization

Contact information

Practice address
3102 SW 13TH ST, OCALA, FL 34474
(352) 369-1001
(352) 369-0977
Mailing address
3102 SW 13TH STREET, OCALA, FL 34474
(352) 369-1001
(352) 369-0977

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME78868
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068267
PIERRE VISTA NUMBER
FL
01
265589
PIERRE AVMED NUMBER
FL
01
31547
SIVA BCBS NUMBER
FL
01
47166
PIERRE BCBS NUMBER
FL
01
77464773
SIVA AETNA NUMBER
FL
01
81903
PIERRE AENTA NUMBER
FL
Enumeration date
08/14/2006
Last updated
08/22/2020
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