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PEDIATRICS OF CENTRAL FLORIDA P.A. NPI 1194493346


NPI Information

NPI: 1194493346
Provider Name: PEDIATRICS OF CENTRAL FLORIDA P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3010 17TH ST
SAINT CLOUD, FL
ZIP 34769
Phone: (407) 891-0479
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PEDIATRICS OF CENTRAL FLORIDA P.A. is a pediatrics in Saint Cloud, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRICS OF CENTRAL FLORIDA P.A. NPI is 1194493346. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3010 17TH ST
SAINT CLOUD, FL
ZIP 34769-011
Phone: (407) 891-0479
Fax: (407) 891-8775

The provider's authorized official is Rupa Desai .
The authorized official title is Office Manager and has the following contact phone number (407) 846-3455.

The enumeration date for this NPI number is 9/2/2021 and was last updated on 9/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1104046600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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