| NPI | 1164121513 |
|---|---|
| Doing Business As | PEDIM HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DEAN C MAJOR Credentialing Specialist 352-684-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2025-02-13 |