ONE SOURCE PEDIATRICS P.A NPI 1346266962

NPI Information

  • NPI: 1346266962
  • Provider Name: ONE SOURCE PEDIATRICS P.A
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 10D0677462
  • Address: 1625 N COMMERCE PKWY
    SUITE 205
    WESTON, FL
    ZIP 33326
  • Phone: (954) 659-8550

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NPI Details

ONE SOURCE PEDIATRICS P.A is a primary care clinic center in Weston, FL. ONE SOURCE PEDIATRICS P.A NPI is 1346266962. The provider is registered as an organization entity type.

The provider's business location address is:

1625 N COMMERCE PKWY
SUITE 205
WESTON, FL
ZIP 33326-216
Phone: (954) 659-8550
Fax: (954) 659-8770

The provider's authorized official is Carlos Orlando Barbosa .
The authorized official title is Owner and has the following contact phone number (954) 659-8550.

The CLIA number assigned to this NPI record is 10D0677462 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/22/2013.

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
1261QP2300XClinic/CenterPrimary CareME83660FLORIDAYes

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
1D61287MEDICARE UPINFLORIDA
2048013401MEDICAIDFLORIDA
3266448800MEDICAIDFLORIDA
4262872400MEDICAIDFLORIDA
5271158300MEDICAIDFLORIDA
6271831600MEDICAIDFLORIDA

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: 11/21/2025

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