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1518911569
FUNCOAST PEDIATRICS PA
ORMOND BEACH, FL
NPI
1518911569
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Entity Type
Organization
Authorized Contact
JAMES GRADY WHITE
President
386-677-3530
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-05-22
Last Update Date
2020-08-22
Business Address
FUNCOAST PEDIATRICS PA
1688 W GRANADA BLVD SUITE 2B
ORMOND BEACH, FL 32174
Phone number: 386-677-3530
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Mailing Address
FUNCOAST PEDIATRICS PA
1688 W GRANADA BLVD SUITE 2B
ORMOND BEACH, FL 32174
Phone number: 386-677-3530
Copy
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