| Professional Pediatrics | |
|
1050 Us Highway 27 Ste 5 Clermont FL 34714-7508 | |
| (352) 404-8944 | |
| Not Available |
| Full Name | Professional Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1050 Us Highway 27 Ste 5, Clermont, Florida |
| Authorized Official Name and Position | Mohammad Afzal (OWNER) |
| Authorized Official Contact | 3523943929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Pediatrics 1050 Us Highway 27 Ste 5 Clermont FL 34714-7508 Ph: () - | Professional Pediatrics 1050 Us Highway 27 Ste 5 Clermont FL 34714-7508 Ph: (352) 404-8944 |
| NPI Number | 1992378202 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992378202 | NPI | - | NPPES |
| 004770701 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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