Organization
FIRST COAST PEDIATRICS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT TIU MD (OWNER)
(386) 328-5437
Entity
Organization
Contact information
Practice address
397 PALM COAST PKWY SW, UNIT302, PALM COAST, FL 32137-4776
(386) 328-5437
(386) 328-5464
Mailing address
397 PALM COAST PKWY SW, UNIT302, PALM COAST, FL 32137-4776
(386) 328-5437
(386) 328-5464
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME 0075674
FL
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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