| NPI | 1104499367 |
|---|---|
| Other Name | BIG BEND PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | LYNDA GORKEN VP, P Fs 727-281-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |