| NPI | 1497106504 |
|---|---|
| Doing Business As | PEDSPLUS PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MICKELINA LAURORE Manager 239-691-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-12-30 |