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PRIME PEDIATRICS OF CASSELBERRY NPI 1528489606


NPI Information

NPI: 1528489606
Provider Name: PRIME PEDIATRICS OF CASSELBERRY
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3950 S HWY 17/92
STE 2024
CASSELBERRY, FL
ZIP 32707
Phone: (407) 809-5562
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PRIME PEDIATRICS OF CASSELBERRY is a pediatrics in Casselberry, 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. PRIME PEDIATRICS OF CASSELBERRY NPI is 1528489606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3950 S HWY 17/92
STE 2024
CASSELBERRY, FL
ZIP 32707-295
Phone: (407) 809-5562
Fax: (407) 809-5562

The provider's authorized official is Salma Elfaki .
The authorized official title is Member and has the following contact phone number (407) 809-5562.

The enumeration date for this NPI number is 12/17/2013 and was last updated on 12/17/2013.


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
1208000000XPediatricsME101587FLORIDAYes

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: 5/5/2024

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