| NPI | 1396805115 |
|---|---|
| Doing Business As | PEDIM HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DACELIN ST. MARTIN Medical Director/Owner 352-527-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL 10D1050573) |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-04-24 |