| We Care Pediatric Cc, Pa | |
|
9406 Balm Riverview Rd Riverview FL 33569-5116 | |
| (813) 236-9310 | |
| (813) 236-9311 |
| Full Name | We Care Pediatric Cc, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9406 Balm Riverview Rd, Riverview, Florida |
| Authorized Official Name and Position | Peter Allen Kosoff (OWNER) |
| Authorized Official Contact | 8132369310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| We Care Pediatric Cc, Pa Po Box 1885 Riverview FL 33568-1885 Ph: (813) 236-9310 | We Care Pediatric Cc, Pa 9406 Balm Riverview Rd Riverview FL 33569-5116 Ph: (813) 236-9310 |
| NPI Number | 1003016858 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 07/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003016858 | NPI | - | NPPES |
| ME79005 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME79005 (Florida) | Primary |
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