Organization
PEDIATRIC NEURODEVELOPMENTAL ASSOCIATES
Active
Organization
PEDIATRIC NEURODEVELOPMENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVI ELIZABETH DOMNITZ-GEBET DO (PHYSICIAN)
(813) 450-6128
Entity
Organization
Contact information
Practice address
3282 TOSCANA DR, SAINT CLOUD, FL 34772-6710
(813) 450-6128
Mailing address
3282 TOSCANA DR, SAINT CLOUD, FL 34772-6710
(813) 450-6128
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/25/2022
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