MAGNOLIA PEDIATRICS LLC

LAKE CITY, FL
NPI1356513964
Entity TypeOrganization
Authorized ContactBILAL KHODR
Provider
386-719-6500
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME72652)
Enumeration Date2008-03-24
Last Update Date2012-10-05
Business Address
MAGNOLIA PEDIATRICS LLC
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025-1329
Phone number: 386-719-6500
Mailing Address
MAGNOLIA PEDIATRICS LLC
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025-1329
Phone number: 386-719-6500
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