| NPI | 1316385164 |
|---|---|
| Former Legal Business Name | RAINBOW PEDIATRIC CENTER PA |
| Entity Type | Organization |
| Authorized Contact | PRASANTHI REDDY Owner/ Doctor 904-223-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME91195) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2024-09-12 |