Organization
PELAEZ AND MONTANE PA
Active
Other names
Pediatric Care Center Rainbow Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT N PELAEZ MD (CO-OWNER)
(813) 681-5714
Entity
Organization
Contact information
Practice address
1383 PROVIDENCE RD, SUITE 102, BRANDON, FL 33511-4885
(813) 681-5714
(813) 689-9557
Mailing address
1383 PROVIDENCE RD, BRANDON, FL 33511-4885
(813) 681-5714
(813) 689-9557
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME39365
FL
208000000X
Pediatrics Physician
Primary
ME52110
FL
208000000X
Pediatrics Physician
ME58346
FL
208000000X
Pediatrics Physician
ME71781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036958600
—
FL
Enumeration date
06/26/2006
Last updated
11/18/2011
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