| Pediatric Aba 10 Inc | |
|
4399 Commons Dr E Ste 100 Destin FL 32541-8413 | |
| (786) 597-2047 | |
| Not Available |
| Full Name | Pediatric Aba 10 Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4399 Commons Dr E Ste 100, Destin, Florida |
| Authorized Official Name and Position | Wandy Caceres (OWNER) |
| Authorized Official Contact | 7865972047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Aba 10 Inc 4399 Commons Dr E Ste 100 Destin FL 32541-8413 Ph: (786) 597-2047 | Pediatric Aba 10 Inc 4399 Commons Dr E Ste 100 Destin FL 32541-8413 Ph: (786) 597-2047 |
| NPI Number | 1467943662 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467943662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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