| NPI | 1467891531 |
|---|---|
| Former Legal Business Name | LONGWOOD PEDIATRICS LLC |
| Entity Type | Organization |
| Authorized Contact | JAGDISH C AMBWANI CEO 407-644-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2024-12-05 |