Organization
KIDSVILLE PEDIATRICS VII, P.A. AFTER HOURS WALK-IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR MANUEL PANTOJA JR. (CFO/COO)
(863) 419-0688
Entity
Organization
Contact information
Practice address
2201 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 419-0688
(863) 419-9547
Mailing address
2201 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 419-0688
(863) 419-9547
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME-0074421
FL
Other
Enumeration date
06/08/2011
Last updated
08/13/2019
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