| NPI | 1093317737 |
|---|---|
| Doing Business As | SPROUTS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JAMES DOWNEY President 904-463-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2021-03-18 |