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NPI 1851896518 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3492 Martin Hurst Rd
Tallahassee, FL 32312 - Phone
- (850) 408-3209
- Organisation at this address
- Pediatria Healthcare, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida