Organization
PRESCRIBED PEDIATRIC EXTENDED CARE, INC
Active
Other names
Pediatric Health Choice
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI TOSTI (VP FINANCE)
(813) 880-0320
Entity
Organization
Contact information
Practice address
2810 HIGHWAY 77 STE AB, PANAMA CITY, FL 32405-4479
(813) 870-0000
Mailing address
8509 BENJAMIN RD STE D, TAMPA, FL 33634-1224
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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