CARRASQUERO PEDIATRICS AND ASSOCIATES NPI 1134478605

NPI Information

  • NPI: 1134478605
  • Provider Name: CARRASQUERO PEDIATRICS AND ASSOCIATES
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: WEKIVA SPRINGS PEDIATRICS
  • CLIA Number: 10D2045007
  • Address: 407 WEKIVA SPRINGS ROAD
    SUITE 110
    LONGWOOD, FL
    ZIP 32779
  • Phone: (407) 790-7998

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NPI Details

CARRASQUERO PEDIATRICS AND ASSOCIATES is a specialist in Longwood, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CARRASQUERO PEDIATRICS AND ASSOCIATES NPI is 1134478605. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wekiva Springs Pediatrics.

The provider's business location address is:

407 WEKIVA SPRINGS ROAD
SUITE 110
LONGWOOD, FL
ZIP 32779
Phone: (407) 790-7998
Fax: (407) 951-8821

The provider's authorized official is Luisa Carrasquero .
The authorized official title is Md and has the following contact phone number (407) 790-7998.

The CLIA number assigned to this NPI record is 10D2045007 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2012 and was last updated on 8/30/2012.

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
1174400000XSpecialistME99334FLORIDAYes

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
1279635000MEDICAIDFLORIDA

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: 3/30/2025

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