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WINDERMERE PEDIATRICS NPI 1114049822


NPI Information

NPI: 1114049822
Provider Name: WINDERMERE PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0698512

Address:
2101 PARK CENTER DR
100 & 130
ORLANDO, FL
ZIP 32835
Phone: (407) 297-0080
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WINDERMERE PEDIATRICS is a pediatrics in Orlando, 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. WINDERMERE PEDIATRICS NPI is 1114049822. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2101 PARK CENTER DR
100 & 130
ORLANDO, FL
ZIP 32835-626
Phone: (407) 297-0080
Fax: (407) 295-3080

The provider's authorized official is Ginny L Guyton .
The authorized official title is President and has the following contact phone number (407) 297-0080.

The CLIA number assigned to this NPI record is 10D0698512 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.


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
1208000000XPediatricsME0051702FLORIDAYes

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
1BG1593878OTHERFLORIDADEA NUMBER
2ME0051702OTHERFLORIDAMEDICAL LICENSE

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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