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MILESTONES PEDIATRICS LLC NPI 1508343641


NPI Information

NPI: 1508343641
Provider Name: MILESTONES PEDIATRICS LLC

Doing Business As: MILESTONES PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2154089

Address:
100 SW 75TH ST STE 101
GAINESVILLE, FL
ZIP 32607
Phone: (352) 559-8911
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MILESTONES PEDIATRICS LLC is a pediatrics in Gainesville, 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. MILESTONES PEDIATRICS LLC NPI is 1508343641. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Milestones Pediatrics.

The provider's business location address is:

100 SW 75TH ST STE 101
GAINESVILLE, FL
ZIP 32607-775
Phone: (352) 559-8911
Fax: (352) 559-8877

The provider's authorized official is Priyanka Vyas .
The authorized official title is Owner and has the following contact phone number (501) 231-4079.

The CLIA number assigned to this NPI record is 10D2154089 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2018 and was last updated on 8/27/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME116979FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100919100MEDICAIDFLORIDA

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: 11/14/2023

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