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Pediatric Wiazards
Primary Care Clinic/Center in Melbourne, Florida
NPI 1730509811

Pediatric Wiazards is a Primary Care Clinic/Center based in Melbourne, FL and is specialized in Primary Care. Pediatric Wiazards practices in Melbourne, FL. The NPI Number for Pediatric Wiazards is 1730509811 and holds a License No. BH7272898 (Florida).

The current practice location address for Pediatric Wiazards is 1310 W Eau Gallie Blvd, Melbourne, FL and can be reached out via phone at 321-255-3434 and via fax at 321-255-0963. You can also correspond with Pediatric Wiazards through the mailing address at 1310 W EAU GALLIE BLVD, MELBOURNE, FL - 32935-5300 (mailing address contact number: 321-255-3434).

Location: 1310 W Eau Gallie Blvd, Melbourne, FL, 32935-5300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730509811
Provider Name
Pediatric Wiazards
Credential
Provider Entity Type
Organization
Address
1310 W Eau Gallie Blvd, Melbourne, FL, 32935-5300
Phone Number
321-255-3434
Fax Number
321-255-0963
Provider Enumeration Date
04/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
261371900 05 FL
institution
Provider Business Practice Location Address Details
Address
1310 W Eau Gallie Blvd
City
Melbourne
State
Florida
Zip
32935-5300
Phone Number
321-255-3434
Fax Number
321-255-0963
person
Provider Business Mailing Address Details
Address
1310 W Eau Gallie Blvd
City
Melbourne
State
Florida
Zip
32935-5300
Phone Number
321-255-3434
Fax Number
321-255-0963
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
BH7272898 (Florida)
Definition
Definition to come...
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