NPI | 1023018629 |
---|---|
Doing Business As | RIVER'S EDGE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | KATHLEEN R. MONTEMAYOR Owner 727-844-3551 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2005-07-26 |
Last Update Date | 2022-07-21 |