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Organization

CHIKOS PEDIATRIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MIRIAM GONZALEZ (GENERAL MANAGER)
(813) 933-3350
Entity
Organization

Contact information

Practice address
2702 W WATERS AVE, TAMPA, FL 33614-1837
(813) 933-3350
(813) 933-3334
Mailing address
2702 W WATERS AVE, TAMPA, FL 33614-1837
(813) 933-3350
(813) 933-3334

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
253095
FL

Other

Enumeration date
09/26/2012
Last updated
09/26/2012
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