| NPI | 1326455304 |
|---|---|
| Doing Business As | CHILDREN'S DOCTORS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ONG DEE Owner 407-862-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL ME 105201) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: FL ME 105201) |
| 305R00000X Preferred Provider Organization (Licence: FL ME 105201) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-24 |