| NPI | 1174560858 |
|---|---|
| Doing Business As | OH GENERAL PEDIATRICS & ADOLESCENT MED. |
| Entity Type | Organization |
| Authorized Contact | KEITH EGGERT VP Revenue Management 407-237-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-09-30 |