Organization
PERSONAL PEDIATRIC CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY MICHAEL HARVEY M.D. (PHYSICIAN)
(727) 645-6941
Entity
Organization
Contact information
Practice address
3012 STARKEY BLVD, TRINITY, FL 34655-2175
(727) 645-6941
(727) 494-7684
Mailing address
3012 STARKEY BLVD, TRINITY, FL 34655-2175
(727) 645-6941
(727) 494-7684
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME58972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054287300
—
FL
Enumeration date
02/17/2011
Last updated
02/17/2011
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