Organization · Type 2 NPI
Sumter Pediatrics PA
Rural Health Clinic/Center · Sumterville, FL
NPI number
1174924757
Active
Practice location
617 S US 301 Ste B
Sumterville, FL 33585-5355
Fax (352) 569-4981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | ME72542 (FL) |
| Rural Health Clinic/Center Primary | 261QR1300X | ME72542 (FL) |
Rural Health Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1174924757
Sumter Pediatrics PA's National Provider Identifier is 1174924757, issued on Sep 15, 2014. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Sumterville, FL. The record was last updated on Jan 22, 2025.