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Organization

BANYAN PEDIATRIC CARE CENTERS PASCO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANET HUFFMAN (CFO)
(941) 929-5450
Entity
Organization

Contact information

Practice address
4008 LITTLE RD, NEW PORT RICHEY, FL 34655-1719
(041) 929-5450
Mailing address
850 3RD AVE S, ST PETERSBURG, FL 33701-4010
(727) 821-5439

Taxonomy

Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary

Other

Enumeration date
08/12/2020
Last updated
08/12/2020
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