PEDIATRIC SPECIALTY GROUP INC NPI 1598229890

NPI Information

  • NPI: 1598229890
  • Provider Name: PEDIATRIC SPECIALTY GROUP, INC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 3228 SW MARTIN DOWNS BLVD
    PALM CITY, FL
    ZIP 34990
  • Phone: (772) 286-8133

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NPI Details

PEDIATRIC SPECIALTY GROUP, INC is a pediatrics in Palm 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. PEDIATRIC SPECIALTY GROUP, INC NPI is 1598229890. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3228 SW MARTIN DOWNS BLVD
PALM CITY, FL
ZIP 34990-679
Phone: (772) 286-8133

The provider's authorized official is Raiza Beatriz Vidaurrazaga .
The authorized official title is Sr. Provider Relations Specialist and has the following contact phone number (786) 624-2186.

The enumeration date for this NPI number is 1/31/2019 and was last updated on 1/31/2019.

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
22080I0007XPediatricsClinical & Laboratory ImmunologyNo
32080P0202XPediatricsPediatric CardiologyNo
42080P0205XPediatricsPediatric EndocrinologyNo
52080P0206XPediatricsPediatric GastroenterologyNo

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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