CSI-PEDIATRIC SERVICES LLC NPI 1790231827

NPI Information

NPI: 1790231827
Provider Name: CSI-PEDIATRIC SERVICES, LLC
Classification: Clinic/Center - 261QH0100X
Specialization: Health Service
Entity Type: Organization
Other Name: SPARK PEDIATRICS
Address: 3040 DYER BLVD
SUITE 3028, 3030
KISSIMMEE, FL
ZIP 34741
Phone: (407) 279-1668

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NPI Details

CSI-PEDIATRIC SERVICES, LLC is a health service clinic center in Kissimmee, FL. CSI-PEDIATRIC SERVICES, LLC NPI is 1790231827. The provider is registered as an organization entity type.
The provider Other Name Is Spark Pediatrics.

The provider's business location address is:

3040 DYER BLVD
SUITE 3028, 3030
KISSIMMEE, FL
ZIP 34741-839
Phone: (407) 279-1668

The provider's authorized official is Donna Lodato .
The authorized official title is Ceo and has the following contact phone number (786) 522-9600.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 7/13/2022.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

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
1	024131700	MEDICAID	FLORIDA

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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