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HOMESTEAD PEDIATRIC ASSOCIATES INC. NPI 1669469771


NPI Information

NPI: 1669469771
Provider Name: HOMESTEAD PEDIATRIC ASSOCIATES, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2057586

Address:
975 BAPTIST WAY
SUITE 103
HOMESTEAD, FL
ZIP 33033
Phone: (305) 245-4549
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HOMESTEAD PEDIATRIC ASSOCIATES, INC. is a pediatrics in Homestead, 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. HOMESTEAD PEDIATRIC ASSOCIATES, INC. NPI is 1669469771. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

975 BAPTIST WAY
SUITE 103
HOMESTEAD, FL
ZIP 33033-600
Phone: (305) 245-4549
Fax: (305) 245-4590

The provider's authorized official is Danette Torres .
The authorized official title is President and has the following contact phone number (305) 245-4549.

The CLIA number assigned to this NPI record is 10D2057586 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 9/28/2013.


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
1208000000XPediatricsME83861FLORIDAYes

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
1178147OTHERFLORIDAJMH
2=========OTHERFLORIDAAETNA
311071OTHERFLORIDADIMENSION
4297302OTHERFLORIDAAVMED
55666752OTHERFLORIDAFIRSTHEALTH
6SG078319/H922OTHERFLORIDAVISTA
729246OTHERFLORIDABLUECROSSBLUESHIELD
852761-83861OTHERFLORIDANHP
9=========OTHERFLORIDAHUMANA
10272565700MEDICAIDFLORIDA
114554532OTHERFLORIDACIGNA
12=========OTHERFLORIDAUNITED HEALTH CARE
13=========21242328544OTHERFLORIDABEECHSTREET
14194198OTHERFLORIDAAMERIGROUP
15=========OTHERFLORIDAPHCS
16=========OTHERFLORIDATRICARE

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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