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TOTAL PEDIATRIC CARE NPI 1316349905


NPI Information

NPI: 1316349905
Provider Name: TOTAL PEDIATRIC CARE

Doing Business As: TOTAL PEDIATRIC CARE

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0912207

Address:
100 E COMMERCIAL BLVD
FT LAUDERDALE, FL
ZIP 33334
Phone: (954) 351-0202
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TOTAL PEDIATRIC CARE is a pediatrics in Ft Lauderdale, 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. TOTAL PEDIATRIC CARE NPI is 1316349905. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Total Pediatric Care.

The provider's business location address is:

100 E COMMERCIAL BLVD
FT LAUDERDALE, FL
ZIP 33334-687
Phone: (954) 351-0202
Fax: (954) 351-0201

The provider's authorized official is Jeanetta Flood .
The authorized official title is Office Manager and has the following contact phone number (954) 351-0202.

The CLIA number assigned to this NPI record is 10D0912207 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2014 and was last updated on 9/25/2014.


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
1208000000XPediatricsME0060159FLORIDAYes

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
1370024101MEDICAIDFLORIDA

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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