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Organization

ATLANTIC COAST PEDIATRICS, M.D. P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS A GONZALEZ M.D. (PRESIDENT)
(321) 452-1061
Entity
Organization

Contact information

Practice address
270 N SYKES CREEK PKWY, UNIT 108, MERRITT ISLAND, FL 32953
(321) 452-1061
(321) 453-0866
Mailing address
PO BOX 541216, MERRITT ISLAND, FL 32954-1216
(321) 452-1061
(321) 453-0866

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054902900
FL
Enumeration date
05/08/2006
Last updated
09/22/2016
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