| Dunedin Pediatrics Llc | |
|
424 Douglas Ave Dunedin FL 34698-7602 | |
| (210) 913-4881 | |
| Not Available |
| Full Name | Dunedin Pediatrics Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 424 Douglas Ave, Dunedin, Florida |
| Authorized Official Name and Position | Vivian Marie Herrero (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7277347337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dunedin Pediatrics Llc 424 Douglas Ave Dunedin FL 34698-7602 Ph: (727) 734-7337 | Dunedin Pediatrics Llc 424 Douglas Ave Dunedin FL 34698-7602 Ph: (210) 913-4881 |
| NPI Number | 1457761603 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 02/11/2021 |
| Medicare PECOS PAC ID | 2466865340 |
|---|---|
| Medicare Enrollment ID | O20210114000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457761603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Michael V Didonna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487096632 PECOS PAC ID: 6204066988 Enrollment ID: I20210114000839 |
| Provider Name | Alice Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821430216 PECOS PAC ID: 4486888179 Enrollment ID: I20211122003036 |
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