| Prq, Inc Dba Pediatric Partners Of Wh | |
|
550 Pope Ave Pope Medical Plaza Winter Haven FL 33881 | |
| (863) 293-2144 | |
| (863) 293-3732 |
| Full Name | Prq, Inc Dba Pediatric Partners Of Wh |
|---|---|
| Speciality | Family Medicine |
| Location | 550 Pope Ave, Winter Haven, Florida |
| Authorized Official Name and Position | Kelly A Stanwood (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 8634018516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prq, Inc Dba Pediatric Partners Of Wh 550 Pope Ave Pope Medical Plaza Winter Haven FL 33881 Ph: (863) 293-2144 | Prq, Inc Dba Pediatric Partners Of Wh 550 Pope Ave Pope Medical Plaza Winter Haven FL 33881 Ph: (863) 293-2144 |
| NPI Number | 1740534262 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 11/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740534262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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