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SAFARI PEDIATRICS PA NPI 1952782559


NPI Information

NPI: 1952782559
Provider Name: SAFARI PEDIATRICS, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2098833

Address:
340 N WYMORE RD
SUITE B
WINTER PARK, FL
ZIP 32789
Phone: (407) 613-2473
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SAFARI PEDIATRICS, PA is a pediatrics in Winter Park, 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. SAFARI PEDIATRICS, PA NPI is 1952782559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

340 N WYMORE RD
SUITE B
WINTER PARK, FL
ZIP 32789-823
Phone: (407) 613-2473
Fax: (407) 613-2474

The provider's authorized official is Fatan Jaafar .
The authorized official title is President and has the following contact phone number (734) 476-8989.

The CLIA number assigned to this NPI record is 10D2098833 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2015 and was last updated on 6/9/2015.


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
1208000000XPediatricsME110851FLORIDAYes

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
1MEOTHERFLORIDAME110851
2005523100MEDICAIDFLORIDA

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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