Organization
PEDIATRICS PLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA NELSON (PHYSICAL THERAPIST, OWNER)
(850) 769-5371
Entity
Organization
Contact information
Practice address
927 GRACE AVE, PANAMA CITY, FL 32401-2521
(850) 769-5371
(850) 872-9558
Mailing address
927 GRACE AVE, PANAMA CITY, FL 32401-2521
(850) 769-5371
(850) 872-9558
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT5280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880185101
—
FL
Enumeration date
08/11/2011
Last updated
08/11/2011
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