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Organization

PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC

Active
Other names
Peninsula Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN MICHAEL MOORE M.D. (OWNER)
(727) 228-7000
Entity
Organization

Contact information

Practice address
13163 66TH STREET, LARGO, FL 33773
(727) 228-7000
(727) 223-3614
Mailing address
13163 66TH STREET, LARGO, FL 33773
(727) 228-7000
(727) 223-3614

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 100692
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018367100
FL
Enumeration date
02/17/2016
Last updated
06/05/2023
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