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ADVANCED PEDIATRICS P A NPI 1952602286


NPI Information

NPI: 1952602286
Provider Name: ADVANCED PEDIATRICS P A
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2016962

Address:
3712 WINTER GARDEN VINELAND RD
WINTER GARDEN, FL
ZIP 34787
Phone: (352) 394-7125
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ADVANCED PEDIATRICS P A is a pediatrics in Winter Garden, 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. ADVANCED PEDIATRICS P A NPI is 1952602286. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3712 WINTER GARDEN VINELAND RD
WINTER GARDEN, FL
ZIP 34787-483
Phone: (352) 394-7125

The provider's authorized official is Aisha Firdos Asif .
The authorized official title is Director and has the following contact phone number (909) 569-5409.

The CLIA number assigned to this NPI record is 10D2016962 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2010 and was last updated on 2/6/2024.


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
1ME131571OTHERFLORIDAFLORIDA LICENSE NUMBER
2003191900MEDICAIDFLORIDA
3102155600MEDICAIDFLORIDA

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: 5/5/2024

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