Organization
KIDSVILLE PEDIATRICS VI, PA AFTER HOURS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR MANUEL PANTOJA JR. (CFO/ADMINISTRATOR)
(407) 447-7773
Entity
Organization
Contact information
Practice address
11886 LAKE UNDERHILL RD, ORLANDO, FL 32825-4436
(407) 447-7773
(407) 447-7804
Mailing address
11886 LAKE UNDERHILL RD, ORLANDO, FL 32825-4436
(407) 447-7773
(407) 447-7804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
08/13/2019
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