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Sptlsc Inc — NPI 1043054596, New Smyrna Beach, FL | NPI Central

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NPI 1043054596

OrganizationActive

Sptlsc Inc

NPI 1043054596 · Developmental - Behavioral Pediatrics Physician · New Smyrna Beach, FL

Provider details

NPI number: 1043054596
Entity type: Organization
Primary specialty: Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Matthew Ford Ford, President(609) 432-8983

Specialties & taxonomies

Developmental - Behavioral Pediatrics PhysicianPrimary2080P0006X
Allopathic & Osteopathic Physicians

Practice location

110 S Orange St

New Smyrna Beach, FL 32168-7153

Phone: (609) 432-8983

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

1141 Sand Trap Ct

Daytona Beach, FL 32124-3021

Other names (DBA / former)

Doing business as: Sunnyside Pediatric Therapy

Registry dates

Enumerated: 2024-06-20
Last updated: 2024-08-14
Certified: 2024-08-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.