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LITTLE HOUSE PEDIATRICS L.L.C. NPI 1457691347


NPI Information

NPI: 1457691347
Provider Name: LITTLE HOUSE PEDIATRICS L.L.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2062194

Address:
8734 LEE VISTA BLVD
SUITE 400
ORLANDO, FL
ZIP 32829
Phone: (407) 910-2340
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LITTLE HOUSE PEDIATRICS L.L.C. 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. LITTLE HOUSE PEDIATRICS L.L.C. NPI is 1457691347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8734 LEE VISTA BLVD
SUITE 400
ORLANDO, FL
ZIP 32829-022
Phone: (407) 910-2340

The provider's authorized official is Santiago A. Jimenez .
The authorized official title is MANAGAMENT MEMBERMember and has the following contact phone number (407) 910-2340.

The CLIA number assigned to this NPI record is 10D2062194 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2013 and was last updated on 10/14/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME65074FLORIDAYes

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
1008623200MEDICAIDFLORIDA

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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