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1043630353
LIGHTHOUSE PEDIATRICS PLLC
ST AUGUSTINE, FL
NPI
1043630353
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Entity Type
Organization
Authorized Contact
VINCENT LUZ
Owner
904-342-7648
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME90727)
Enumeration Date
2014-04-25
Last Update Date
2014-04-25
Business Address
LIGHTHOUSE PEDIATRICS PLLC
100 WHETSTONE PL SUITE 211
ST AUGUSTINE, FL 32086-5774
Phone number: 904-342-7648
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Mailing Address
LIGHTHOUSE PEDIATRICS PLLC
100 WHETSTONE PL SUITE 211
ST AUGUSTINE, FL 32086-5774
Phone number: 904-342-7648
Copy
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