Organization
PEDIATRICS PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M. NELSON (OWNER)
(850) 769-5371
Entity
Organization
Contact information
Practice address
927 GRACE AVE, PANAMA CITY, FL 32401-2521
(850) 769-5371
(850) 872-9558
Mailing address
927 GRACE AVE, PANAMA CITY, FL 32401-2521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880183501
—
FL
Enumeration date
02/04/2009
Last updated
02/04/2009
About Stedi
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