PROGRESSIVE PEDIATRICS OF ORLANDO PA

LONGWOOD, FL
NPI1992730550
Entity TypeOrganization
Authorized ContactALFONSO MIRELES
Owner
407-830-5437
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME54968)
Enumeration Date2006-07-12
Last Update Date2008-05-14
Business Address
PROGRESSIVE PEDIATRICS OF ORLANDO PA
521 W STATE ROAD 434 SUITE 101
LONGWOOD, FL 32750
Phone number: 407-830-5437
Mailing Address
PROGRESSIVE PEDIATRICS OF ORLANDO PA
PO BOX 520879
LONGWOOD, FL 32752-0879
Phone number: 407-830-5437