PEDIATRIC PRIME CARE NPI 1881093276

NPI Information

  • NPI: 1881093276
  • Provider Name: PEDIATRIC PRIME CARE
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 10D0961639
  • Address: 1801 SE HILLMOOR DRIVE
    SUITE A105
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Phone: (772) 335-9949

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NPI Details

PEDIATRIC PRIME CARE is a pediatrics in Port Saint Lucie, 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 PRIME CARE NPI is 1881093276. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 SE HILLMOOR DRIVE
SUITE A105
PORT SAINT LUCIE, FL
ZIP 34952-545
Phone: (772) 335-9949
Fax: (772) 335-9719

The provider's authorized official is Prithvi Raj Sawh .
The authorized official title is Ceo and has the following contact phone number (772) 335-9949.

The CLIA number assigned to this NPI record is 10D0961639 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2014 and was last updated on 8/21/2014.

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
1208000000XPediatrics66915FLORIDAYes

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=========OTHERFLORIDAEIN

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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