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Longleaf Pediatrics Pa
Primary Care Clinic/Center in Orange City, Florida
NPI 1114310851

Longleaf Pediatrics Pa is a Primary Care Clinic/Center based in Orange City, FL and is specialized in Primary Care. Longleaf Pediatrics Pa practices in Orange City, FL. The NPI Number for Longleaf Pediatrics Pa is 1114310851 and holds a License No. 255837800 (Florida).

The current practice location address for Longleaf Pediatrics Pa is 103 Birch Ave, Orange City, FL and can be reached out via phone at 386-532-0800 and via fax at 386-532-7005.

Location: 103 Birch Ave, Orange City, FL, 32774-0715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114310851
Provider Name
Longleaf Pediatrics Pa
Credential
Provider Entity Type
Organization
Address
103 Birch Ave, Orange City, FL, 32774-0715
Phone Number
386-532-0800
Fax Number
386-532-7005
Provider Enumeration Date
03/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
255837800 05 FL
institution
Provider Business Practice Location Address Details
Address
103 Birch Ave
City
Orange City
State
Florida
Zip
32763-7003
Phone Number
386-532-0800
Fax Number
386-532-7005
person
Provider Business Mailing Address Details
Address
103 Birch Ave
City
Orange City
State
Florida
Zip
32763-7003
Phone Number
386-532-0800
Fax Number
386-532-7005
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
255837800 (Florida)
Definition
Definition to come...
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