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Organization

COMPASSION PEDIATRIC URGENT CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLEY KYLE BOW M.D. (PRESIDENT)
(407) 985-1905
Entity
Organization

Contact information

Practice address
4445 S SEMORAN BLVD STE C, ORLANDO, FL 32822-2472
(407) 985-1905
(407) 985-1904
Mailing address
4445 S. SEMORAN BOULEVARD SUITE C, ORLANDO, FL 32822
(407) 985-1905

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
261QU0200X
Urgent Care Clinic/Center
ME 110633
FL
363AM0700X
Medical Physician Assistant
363LF0000X
Family Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101675700
FL
Enumeration date
03/04/2013
Last updated
04/22/2021
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