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Organization

ALL WELL PEDIATRICS GROUP, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GOWTHAM PANDIAN (ADMINISTRATOR)
(813) 964-1800
Entity
Organization

Contact information

Practice address
17541 N. DALE MABRY HWY., LUTZ, FL 33548
(813) 964-1800
(813) 964-1880
Mailing address
17541 N. DALE MABRY HWY., LUTZ, FL 33548
(813) 964-1800
(813) 964-1880

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME69011
FL

Other

Enumeration date
09/25/2013
Last updated
08/04/2026
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