NPI | 1639538713 |
---|---|
Doing Business As | PENINSULA PEDIATRICS |
Entity Type | Organization |
Authorized Contact | STEVEN MICHAEL MOORE Owner 727-228-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 100692) |
Enumeration Date | 2016-02-17 |
Last Update Date | 2023-06-05 |