Abc Pediatrics
Organization Active NPI Pediatrics Physician · Niceville, FL
NPI 1548286552 · NPPES record last updated Oct 11, 2007
Key facts
- NPI
- 1548286552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME56157 (FL)
- Legal business name
- ABC PEDIATRICS
- Practice address
- 1005 College Blvd W
Suite B
Niceville, FL 32578-1053 - Phone
- (850) 689-0900
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Lela Johnson
- Title
- Office Manager
- Phone
- (850) 689-0900
Corporate family (same tax ID) 2
Practitioners 2
-
Alberto Barbon-Guisasola, M.D.
-
Luis Fernando Gomez, M.D.
National Provider Directory
- Tax ID family
- Abc Pediatrics
Locations
182 E Redstone Ave
Ste B
Crestview, FL 32539
Phone (850) 359-2644
600 Hospital Dr
Crestview, FL 32539
Phone (850) 279-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | ME56157 | FL | Yes |
Addresses
Primary practice location
1005 College Blvd W
Suite B
Niceville, FL 32578-1053
Mailing address
1005 College Blvd W
Suite B
Niceville, FL 32578-1053
Phone (850) 689-0900
Other providers in Niceville, FL
- 4MD2 Physician Services of Niceville LLC
- A-Z Clarity Counseling, LLC
- Abc Pediatrics
- George Henry Aberth Jr.
- George Zachary Aberth
- Megan Abreu
- Absolute Therapy, LLC
- Access Medical Group, Inc.
All providers in Niceville, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.