| NPI | 1619186087 |
|---|---|
| Other Name | PEDIATRIC CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SHARON RICKETTS Practice Coordiator 340-719-9039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VI 1103) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-06-29 |