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SONNIS PEDIATRICS INC. NPI 1760776900


NPI Information

NPI: 1760776900
Provider Name: SONNIS PEDIATRICS, INC.,
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2025984

Address:
1125 S 6TH AVE
WAUCHULA, FL
ZIP 33873
Phone: (863) 767-1616
Get Directions

SONNIS PEDIATRICS, INC., is a pediatrics in Wauchula, 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. SONNIS PEDIATRICS, INC., NPI is 1760776900. The provider is registered as an organization entity type.

The provider's business location address is:

1125 S 6TH AVE
WAUCHULA, FL
ZIP 33873-350
Phone: (863) 767-1616
Fax: (863) 767-1619

The provider's authorized official is Rajeswari Sonni .
The authorized official title is President and has the following contact phone number (863) 382-0566.

The CLIA number assigned to this NPI record is 10D2025984 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2011 and was last updated on 12/10/2013.


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
1261QR1300XClinic/CenterRural HealthNo
2208000000XPediatricsYes

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
1103952MEDICARE OSCAR/CERTIFICATION
2001ZBMEDICARE PINFLORIDA
3006449300MEDICAIDFLORIDA
4004416500MEDICAIDFLORIDA

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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