Organization
TIMBER CREEK PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTRIA LUBBETT RODRIGUEZ MD (CEO)
(407) 380-1777
Entity
Organization
Contact information
Practice address
15212 E COLONIAL DR, ORLANDO, FL 32826-5518
(407) 380-1777
(407) 380-1766
Mailing address
15212 E COLONIAL DR, ORLANDO, FL 32826-5518
(407) 380-1777
(407) 380-1766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 77161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266529800
—
FL
Enumeration date
07/19/2007
Last updated
03/13/2024
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