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Organization

PRIME PEDIATRICS OF CASSELBERRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALMA ELFAKI MD (MEMBER)
(407) 809-5562
Entity
Organization

Contact information

Practice address
3950 S HWY 17/92, STE 2024, CASSELBERRY, FL 32707-3295
(407) 809-5562
(407) 809-5562
Mailing address
8236 LEE VISTA BLVD, STE I, ORLANDO, FL 32829-8070
(407) 809-5562
(407) 809-5562

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME101587
FL

Other

Enumeration date
12/17/2013
Last updated
12/17/2013
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