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ACD PEDIATRIC GROUP NPI 1245392943


NPI Information

NPI: 1245392943
Provider Name: ACD PEDIATRIC GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2017796

Address:
3416 W 84TH STREET
SUITE 100
HIALEAH, FL
ZIP 33018
Phone: (305) 826-9449
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ACD PEDIATRIC GROUP is a pediatrics in Hialeah, 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. ACD PEDIATRIC GROUP NPI is 1245392943. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3416 W 84TH STREET
SUITE 100
HIALEAH, FL
ZIP 33018-933
Phone: (305) 826-9449
Fax: (305) 828-1255

The provider's authorized official is Evelyn Aneida Delgado .
The authorized official title is Secretary and has the following contact phone number (305) 820-1958.

The CLIA number assigned to this NPI record is 10D2017796 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2006 and was last updated on 12/16/2016.


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
1208000000XPediatricsFLORIDAYes
2208000000XPediatricsNo

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
1255288400MEDICAIDFLORIDA
2255288401MEDICAIDFLORIDA

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

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.