Organization
MAGNOLIA PEDIATRICS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A PATTERSON DO (PRESIDENT)
(850) 222-4801
Entity
Organization
Contact information
Practice address
111 S MAGNOLIA DR, SUITE 11, TALLAHASSEE, FL 32301-2973
(850) 878-5322
Mailing address
1318 N MONROE ST, SUITE E, TALLAHASSEE, FL 32303-5597
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0S 4802
FL
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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