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1609536671
NIGHT LITE PEDIATRIC CENTER, LLC
KISSIMMEE, FL
NPI
1609536671
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Entity Type
Organization
Authorized Contact
DANIELLE MARIE LOPEZ
Manager Credentialing/Enrollment
516-207-7936
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2021-12-17
Last Update Date
2025-01-21
Business Address
NIGHT LITE PEDIATRIC CENTER, LLC
2322 E IRLO BRONSON MEMORIAL HWY
KISSIMMEE, FL 34744-5401
Phone number: 407-279-5950
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Mailing Address
NIGHT LITE PEDIATRIC CENTER, LLC
1 HOLLOW LN STE 301
NEW HYDE PARK, NY 11042-1215
Phone number: 516-207-7936
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