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COMPASSION PEDIATRICS LLC NPI 1194066761


NPI Information

NPI: 1194066761
Provider Name: COMPASSION PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4445 S SEMORAN BLVD STE A
ORLANDO, FL
ZIP 32822
Phone: (407) 203-8957
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COMPASSION PEDIATRICS LLC 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. COMPASSION PEDIATRICS LLC NPI is 1194066761. 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 A
ORLANDO, FL
ZIP 32822-472
Phone: (407) 203-8957
Fax: (407) 985-1904

The provider's authorized official is Lesley Kyle Bow .
The authorized official title is Ceo and has the following contact phone number (407) 456-4591.

The enumeration date for this NPI number is 3/7/2013 and was last updated on 1/18/2022.


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
1363AM0700XPhysician AssistantMedicalNo
2363LF0000XNurse PractitionerFamilyNo
3363LP0200XNurse PractitionerPediatricsNo
4208000000XPediatricsYes

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
17100715220MEDICAIDKENTUCKY
2008610700MEDICAIDFLORIDA

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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