Organization Name: | WELCH & MCLOY PEDIATRIC CLINIC, INC. |
NPI Number: | 1396812442 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD JOSEPH MCLOY (TREASURER) |
Mailing Address: | 38051 Pasco Ave Dade City |
State: | FL US |
Postal Code: | 335254234 |
Phone Number: | 7278486747 |
Fax Number: | 7278473107 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |