Organization
KIDS FIRST PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILIZ BORBON BUMGARNER M.D. (OWNER)
(239) 431-6413
Entity
Organization
Contact information
Practice address
3447 PINE RIDGE RD STE 101, NAPLES, FL 34109-3927
(239) 431-6413
(239) 431-6417
Mailing address
3447 PINE RIDGE RD STE 101, NAPLES, FL 34109-3927
(239) 431-6413
(239) 431-6417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME-91688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271218100
—
FL
Enumeration date
12/20/2010
Last updated
12/20/2010
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