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1144343617
EAST LAKE PEDIATRICS
TRINITY, FL
NPI
1144343617
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Entity Type
Organization
Authorized Contact
MELISSA MARIE MONTGOMERY
Manager
727-372-6760
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL me86866)
Enumeration Date
2007-04-09
Last Update Date
2024-02-14
Business Address
EAST LAKE PEDIATRICS
2137 LITTLE RD
TRINITY, FL 34655-4410
Phone number: 727-372-6760
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Mailing Address
EAST LAKE PEDIATRICS
2137 LITTLE RD
TRINITY, FL 34655-4410
Phone number: 727-372-6760
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