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Organization

MUNCHKINS PEDIATRICS, LLC.

Active
Other names
Munchkins Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHAUNA MICHELE DESCHAMPS APRN (OWNER/PROVIDER)
(352) 437-3107
Entity
Organization

Contact information

Practice address
13540 17TH ST, DADE CITY, FL 33525-5244
(352) 437-3107
(352) 437-3120
Mailing address
20718 HIGHPOND LN, DADE CITY, FL 33523-6555
(813) 892-5501
(352) 437-3120

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
261QP2300X
Primary Care Clinic/Center
363LF0000X
Family Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020056900
FL
05
1023705
FL
Enumeration date
03/22/2019
Last updated
11/21/2024
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