Organization
KIDS DOC PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS E SCACCABARROZZI MD (OWNER)
(352) 332-4400
Entity
Organization
Contact information
Practice address
6440 W NEWBERRY RD, SUITE 105, GAINESVILLE, FL 32605-4381
(352) 332-4400
Mailing address
6440 W NEWBERRY RD, SUITE 105, GAINESVILLE, FL 32605-4381
(352) 332-4400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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