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1487880977
TOTAL PEDIATRIC HEALTHCAREII
LAKELAND, FL
NPI
1487880977
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Entity Type
Organization
Authorized Contact
STEWART A GRANT
President
863-815-3775
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME72163)
Enumeration Date
2009-06-10
Last Update Date
2009-06-10
Business Address
TOTAL PEDIATRIC HEALTHCAREII
930 MARCUM RD
LAKELAND, FL 33809-4308
Phone number: 863-815-3775
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Mailing Address
TOTAL PEDIATRIC HEALTHCAREII
5337 N SOCRUM LOOP RD 320
LAKELAND, FL 33809-4256
Phone number: 863-815-3775
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