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COMPASSION PEDIATRIC URGENT CARE LLC NPI 1770824534


NPI Information

NPI: 1770824534
Provider Name: COMPASSION PEDIATRIC URGENT CARE LLC
Classification: Emergency Medicine - 207PP0204X
Entity Type: Organization

Specialization: Pediatric Emergency Medicine

CLIA Number: 10D2061538

Address:
4445 S SEMORAN BLVD STE C
ORLANDO, FL
ZIP 32822
Phone: (407) 985-1905
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COMPASSION PEDIATRIC URGENT CARE LLC is a pediatric emergency medicine emergency medicine in Orlando, FL. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. COMPASSION PEDIATRIC URGENT CARE LLC NPI is 1770824534. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4445 S SEMORAN BLVD STE C
ORLANDO, FL
ZIP 32822-472
Phone: (407) 985-1905
Fax: (407) 985-1904

The provider's authorized official is Lesley Kyle Bow .
The authorized official title is President and has the following contact phone number (407) 985-1905.

The CLIA number assigned to this NPI record is 10D2061538 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2013 and was last updated on 4/22/2021.


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
1207PP0204XEmergency MedicinePediatric Emergency MedicineYes
2261QU0200XClinic/CenterUrgent CareME 110633FLORIDANo
3363AM0700XPhysician AssistantMedicalNo
4363LF0000XNurse PractitionerFamilyNo
5363LP0200XNurse PractitionerPediatricsNo

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
1101675700MEDICAIDFLORIDA

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: 4/28/2024

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.