PEDIATRIC MEDICAL CENTER PLLC NPI 1952012429

NPI Information

NPI: 1952012429
Provider Name: PEDIATRIC MEDICAL CENTER PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2106774

Address:
836 PAUL ST
ORLANDO, FL
ZIP 32808
Phone: (407) 295-2039
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PEDIATRIC MEDICAL CENTER PLLC is a primary care clinic center in Orlando, FL. PEDIATRIC MEDICAL CENTER PLLC NPI is 1952012429. The provider is registered as an organization entity type.

The provider's business location address is:

836 PAUL ST
ORLANDO, FL
ZIP 32808-545
Phone: (407) 295-2039

The provider's authorized official is Ijaz Ahmed .
The authorized official title is General Manager and has the following contact phone number (407) 342-1896.

The CLIA number assigned to this NPI record is 10D2106774 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2022 and was last updated on 12/6/2022.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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