Organization
MY PEDIATRICIAN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MEDRANO ONG M.D. (PEDIATRICIAN/OWNER)
(813) 684-5659
Entity
Organization
Contact information
Practice address
1037 PROFESSIONAL PARK DR, BRANDON, FL 33511-4886
(813) 684-5659
Mailing address
1037 PROFESSIONAL PARK DR, BRANDON, FL 33511-4886
(813) 684-5659
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME78831
FL
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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