Provider Type Icon

FLORIDA PEDIATRIC ASSOCIATES LLC NPI 1376846733


NPI Information

NPI: 1376846733
Provider Name: FLORIDA PEDIATRIC ASSOCIATES, LLC

Other Name: FLORIDA PEDIATRIC ASSOC OPTICAL MAITLAND

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
790 CONCOURSE PKWY S
SUITE 200
MAITLAND, FL
ZIP 32751
Phone: (407) 767-6411
Get Directions

FLORIDA PEDIATRIC ASSOCIATES, LLC is a pediatrics in Maitland, 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. FLORIDA PEDIATRIC ASSOCIATES, LLC NPI is 1376846733. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Florida Pediatric Assoc Optical Maitland.

The provider's business location address is:

790 CONCOURSE PKWY S
SUITE 200
MAITLAND, FL
ZIP 32751-114
Phone: (407) 767-6411
Fax: (407) 767-8160

The provider's authorized official is Sheila A Tatham .
The authorized official title is Credentialing Manager and has the following contact phone number (727) 456-4250.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 12/7/2010.


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
138313OTHERFLORIDAMEDICARE PTAN
2256303739MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.