| NPI | 1366406183 |
|---|---|
| Doing Business As | MERCHANT PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SORAYA ROA Practice Administrator 407-447-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME71136) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME107095) |
| 208000000X Pediatrics (Licence: FL ME119702) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9419919) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2016-07-29 |