Provider Demographics
NPI:1639840325
Name:A PLUS PEDIATRICS PLLC
Entity Type:Organization
Organization Name:A PLUS PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:O
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-557-4965
Mailing Address - Street 1:3155 CITRUS TOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6803
Mailing Address - Country:US
Mailing Address - Phone:352-242-1500
Mailing Address - Fax:352-242-0053
Practice Address - Street 1:3155 CITRUS TOWER BLVD
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6803
Practice Address - Country:US
Practice Address - Phone:352-242-1500
Practice Address - Fax:353-242-0053
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A PLUS PEDIATRICS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty