| Sumter Pediatrics Pa | |
|
617 S Us 301 Ste B Sumterville FL 33585-5355 | |
| (352) 569-4980 | |
| Not Available |
| Full Name | Sumter Pediatrics Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 617 S Us 301 Ste B, Sumterville, 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 |
|---|---|
| Sumter Pediatrics Pa 617 S Us 301 Ste B Sumterville FL 33585-5355 Ph: (352) 569-4980 | Sumter Pediatrics Pa 617 S Us 301 Ste B Sumterville FL 33585-5355 Ph: (352) 569-4980 |
| NPI Number | 1265005565 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265005565 | NPI | - | NPPES |
| 014683501 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |