Organization
PEDIATRIC INTENSIVIST GROUP LLC
Active
Other names
Pediatric Intensivist Group- Lawnwood
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN STOWELL (VP PHYSICIAN SERVICES, HCA)
(954) 767-5716
Entity
Organization
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(720) 530-9100
Mailing address
111 JFK DR STE A, ATLANTIS, FL 33462-6634
(954) 767-5716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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