| NPI | 1740534262 |
|---|---|
| Doing Business As | PRQ, INC DBA PEDIATRIC PARTNERS OF WH |
| Entity Type | Organization |
| Authorized Contact | KELLY A STANWOOD Clinic Administrator 863-401-8516 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |