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
Update your record
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