| NPI | 1255171765 |
|---|---|
| Doing Business As | LCH-GOLISANO PEDS PC BAYSHORE |
| Entity Type | Organization |
| Authorized Contact | VIVIAN M RODRIGUEZ Credentialing Specialist 239-424-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |