Organization
PEDIATRICS OF CENTRAL FLORIDA P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPA DESAI (PRACTICE MANAGER)
(407) 846-3455
Entity
Organization
Contact information
Practice address
801 WEST OAK STREET, SUITE-101, KISSIMMEE, FL 34741-6605
(407) 846-3455
(407) 846-7381
Mailing address
801 W OAK ST STE 101, KISSIMMEE, FL 34741-6605
(407) 846-3455
(407) 846-7381
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372124800
—
FL
Enumeration date
04/08/2006
Last updated
10/24/2022
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