| All Star Pediatrics | |
|
14065 Town Loop Blvd Suite 300 Orlando FL 32837-6199 | |
| (407) 240-5554 | |
| (407) 240-5543 |
| Full Name | All Star Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14065 Town Loop Blvd, Orlando, Florida |
| Authorized Official Name and Position | Keely Sauer (MANAGER) |
| Authorized Official Contact | 4072405554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Star Pediatrics 14065 Town Loop Blvd Suite 300 Orlando FL 32837-6199 Ph: (407) 240-5554 | All Star Pediatrics 14065 Town Loop Blvd Suite 300 Orlando FL 32837-6199 Ph: (407) 240-5554 |
| NPI Number | 1144683889 |
|---|---|
| Provider Enumeration Date | 03/31/2016 |
| Last Update Date | 03/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144683889 | NPI | - | NPPES |
| 0619388-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0055614 (Florida) | Primary |
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