| NPI | 1407061310 |
|---|---|
| Doing Business As | CREEKSIDE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SANDRA E STEELE Chief Financial Officer 239-658-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-04-05 |