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Contact Information

ATLANTIC COAST PEDIATRICS, M.D. P.A.
270 N SYKES CREEK PKWY
UNIT 108
MERRITT ISLAND, FL32953
 Phone: 321-452-1061
 Fax: 321-453-0866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ATLANTIC COAST PEDIATRICS, M.D. P.A.

NPI Number 1609825694
LBN Legal business name ATLANTIC COAST PEDIATRICS, M.D. P.A.
Authorized official LUIS GONZALEZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2006
Last updated 09/22/2016 - About 10 years ago
Identifiers
FL Medicaid 054902900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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