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Organization

DC PEDIATRICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID CRISPIN SR. M.D. (PRESIDENT)
(407) 578-8600
Entity
Organization

Contact information

Practice address
1603 S HIAWASSEE RD, SUITE 110, ORLANDO, FL 32835-6438
(407) 578-8600
Mailing address
1603 S HIAWASSEE RD, SUITE 110, ORLANDO, FL 32835-6438
(407) 578-8600

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME93409
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003372600
FL
Enumeration date
01/22/2015
Last updated
01/22/2015
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