PEDIATRICS & FAMILY MEDICINE OF BUENA VISTA , LLC

GAINESVILLE, FL
NPI1053747188
Entity TypeOrganization
Authorized ContactBILAL KHODR
Medical Director
352-213-1243
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: FL  ME0072652)
Enumeration Date2013-09-20
Last Update Date2013-09-20
Business Address
PEDIATRICS & FAMILY MEDICINE OF BUENA VISTA , LLC
10552 NW 13TH AVE
GAINESVILLE, FL 32606-8088
Phone number: 678-570-5063
Mailing Address
PEDIATRICS & FAMILY MEDICINE OF BUENA VISTA , LLC
519 BUENA VISTA ST
LAKELAND, FL 33805-4504
Phone number: