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GUARDIAN ANGEL PEDIATRICS NPI 1194965681


NPI Information

NPI: 1194965681
Provider Name: GUARDIAN ANGEL PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
5220 4TH AVENUE CIR E
BRADENTON, FL
ZIP 34208
Phone: (941) 747-0373
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GUARDIAN ANGEL PEDIATRICS is a pediatrics in Bradenton, 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. GUARDIAN ANGEL PEDIATRICS NPI is 1194965681. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5220 4TH AVENUE CIR E
BRADENTON, FL
ZIP 34208-621
Phone: (941) 747-0373
Fax: (941) 747-0336

The provider's authorized official is Chandra Robinson Williams .
The authorized official title is Owner and has the following contact phone number (941) 747-0373.

The enumeration date for this NPI number is 2/24/2009 and was last updated on 5/1/2009.


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
1208000000XPediatrics61174FLORIDAYes

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
1E68740MEDICARE UPINFLORIDA
2057720100MEDICAIDFLORIDA

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

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