| Pm Pediatrics P A | |
|
31810 Hwy 27 Haines City FL 33844-7617 | |
| (407) 483-0672 | |
| (407) 348-5882 |
| Full Name | Pm Pediatrics P A |
|---|---|
| Speciality | Family Medicine |
| Location | 31810 Hwy 27, Haines City, Florida |
| Authorized Official Name and Position | Aziz Imtiaz (OWNER) |
| Authorized Official Contact | 4074830672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pm Pediatrics P A 327 W Cypress St Kissimmee FL 34741-3326 Ph: (407) 483-0672 | Pm Pediatrics P A 31810 Hwy 27 Haines City FL 33844-7617 Ph: (407) 483-0672 |
| NPI Number | 1427214303 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 10/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427214303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME100789 (Florida) | Primary |
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