NIGHT LITE PEDIATRIC CENTER LLC NPI 1609536671

NPI Information

  • NPI: 1609536671
  • Provider Name: NIGHT LITE PEDIATRIC CENTER, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 10D1048573
  • Address: 2322 E IRLO BRONSON MEMORIAL HWY
    KISSIMMEE, FL
    ZIP 34744
  • Phone: (407) 279-5950

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NPI Details

NIGHT LITE PEDIATRIC CENTER, LLC is a pediatrics in Kissimmee, 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. NIGHT LITE PEDIATRIC CENTER, LLC NPI is 1609536671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2322 E IRLO BRONSON MEMORIAL HWY
KISSIMMEE, FL
ZIP 34744-401
Phone: (407) 279-5950

The provider's authorized official is Danielle Marie Lopez .
The authorized official title is Manager Credentialing/enrollment and has the following contact phone number (516) 207-7936.

The CLIA number assigned to this NPI record is 10D1048573 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2021 and was last updated on 1/21/2025.

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

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
1113228408MEDICAIDFLORIDA

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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