NPI | 1164738191 |
---|---|
Doing Business As | VILLAGE PEDIATRICS LLC |
Entity Type | Organization |
Authorized Contact | PATRICIA ELVIR Owner 904-940-1577 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME93245) |
Enumeration Date | 2010-08-27 |
Last Update Date | 2010-08-27 |