FIRST COAST PEDIATRICSPA NPI 1770516924

NPI Information

NPI: 1770516924
Provider Name: FIRST COAST PEDIATRICS,PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
397 PALM COAST PKWY SW
UNIT302
PALM COAST, FL
ZIP 32137
Phone: (386) 328-5437
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FIRST COAST PEDIATRICS,PA is a primary care clinic center in Palm Coast, FL. FIRST COAST PEDIATRICS,PA NPI is 1770516924. The provider is registered as an organization entity type.

The provider's business location address is:

397 PALM COAST PKWY SW
UNIT302
PALM COAST, FL
ZIP 32137-776
Phone: (386) 328-5437
Fax: (386) 328-5464

The provider's authorized official is Dwight Tiu .
The authorized official title is Owner and has the following contact phone number (386) 328-5437.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME 0075674	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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