Provider Type Icon

PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA NPI 1912932138


NPI Information

NPI: 1912932138
Provider Name: PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

CLIA Number: 10D2056731

Address:
615 E PRINCETON ST
SUITE 510
ORLANDO, FL
ZIP 32803
Phone: (407) 898-1210
Get Directions

PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA is a pediatric gastroenterology pediatrics in Orlando, FL. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA NPI is 1912932138. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

615 E PRINCETON ST
SUITE 510
ORLANDO, FL
ZIP 32803-456
Phone: (407) 898-1210
Fax: (407) 898-2920

The provider's authorized official is Sangeeta Bhargava .
The authorized official title is Owner and has the following contact phone number (407) 898-1210.

The CLIA number assigned to this NPI record is 10D2056731 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 3/17/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0206XPediatricsPediatric GastroenterologyME67768FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1278363100MEDICAIDFLORIDA
2K1566MEDICARE PINFLORIDA
3G04114MEDICARE UPINFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.