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NPI Code Detail

MEDICARE: DOS PEDIATRICS, PA

MEDICARE: DOS PEDIATRICS, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1083606982
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOS PEDIATRICS, PA
Provider Business Mailing Address
First Line : 5142 CURRY FORD RD
Second Line :
City : ORLANDO
State : FL
Zip : 32812-8744
Country : US
Telephone Number : 407-381-5533
Fax Number : 407-381-1142
Provider Business Practice Location Address
First Line : 5142 CURRY FORD RD
Second Line :
City : ORLANDO
State : FL
Zip : 32812-8744
Country : US
Telephone Number : 407-381-5533
Fax Number : 407-381-1142
Authorized Official
Title or Position : PRESIDENT
Name : CHANTAL M ALONSO-LEJ
Credential : M.D.
Telephone Number : 407-381-5533
Provider Enumeration Date : 08/17/2005
Last Update Date : 08/22/2020

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Directions to “DOS PEDIATRICS, PA ” Practice Location

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