MUNCHKINS PEDIATRICS LLC. NPI 1558821850

NPI Information

  • NPI: 1558821850
  • Provider Name: MUNCHKINS PEDIATRICS, LLC.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: MUNCHKINS PEDIATRICS
  • CLIA Number: 10D2168766
  • Address: 13540 17TH ST
    DADE CITY, FL
    ZIP 33525
  • Phone: (352) 437-3107

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NPI Details

MUNCHKINS PEDIATRICS, LLC. is a pediatrics in Dade City, 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. MUNCHKINS PEDIATRICS, LLC. NPI is 1558821850. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Munchkins Pediatrics.

The provider's business location address is:

13540 17TH ST
DADE CITY, FL
ZIP 33525-244
Phone: (352) 437-3107
Fax: (352) 437-3120

The provider's authorized official is Shauna Michele Deschamps .
The authorized official title is Owner/provider and has the following contact phone number (352) 437-3107.

The CLIA number assigned to this NPI record is 10D2168766 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2019 and was last updated on 11/21/2024.

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
1208000000XPediatricsYes
2261QP2300XClinic/CenterPrimary CareNo
3363LF0000XNurse PractitionerFamilyNo
4363LP0200XNurse PractitionerPediatricsNo
5363LP2300XNurse PractitionerPrimary CareNo

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
1020056900MEDICAIDFLORIDA
21023705MEDICAIDFLORIDA

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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