| NPI | 1023688298 |
|---|---|
| Doing Business As | SUNSHINE KIDS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | VALERIE GRACE DE LARA LEACH Manager 904-671-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |