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Organization

SUNSHINE PEDIATRIC CLINIC PA

Active
Other names
Sunshine Pediatric Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KABIR AHMED M.D (PRESIDENT)
(772) 446-7800
Entity
Organization

Contact information

Practice address
1973 SW SAVAGE BLVD, SUITE 205, PORT ST LUCIE, FL 34953-2791
(772) 446-7800
(772) 446-7891
Mailing address
1973 SW SAVAGE BLVD, SUITE 205, PORT ST LUCIE, FL 34953-2791
(772) 446-7800
(772) 446-7891

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME85827
FL

Other

Enumeration date
08/19/2014
Last updated
08/19/2014
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