| NPI | 1013031152 |
|---|---|
| Doing Business As | PRESCRIBED PEDIATRIC EXTENDED CARE PEDIATRIC HEALTH CHOICE |
| Entity Type | Organization |
| Authorized Contact | HUONG L TRAN Vice President 813-880-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: FL PH12832) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |