| NPI | 1891201919 |
|---|---|
| Doing Business As | ST. THOMAS PEDIATRIC ASSOCIATE |
| Entity Type | Organization |
| Authorized Contact | REDA AWAD Owner 727-261-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME110635) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |