EXCEL PEDIATRICS PA NPI 1972788537

NPI Information

NPI: 1972788537
Provider Name: EXCEL PEDIATRICS PA
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
265 CITRUS TOWER BLVD
STE # 102
CLERMONT, FL
ZIP 34711
Phone: (352) 394-3929
Get Directions

EXCEL PEDIATRICS PA is a rural health clinic center in Clermont, FL. EXCEL PEDIATRICS PA NPI is 1972788537. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

265 CITRUS TOWER BLVD
STE # 102
CLERMONT, FL
ZIP 34711-908
Phone: (352) 394-3929
Fax: (352) 394-6446

The provider's authorized official is Mohammad Afzal .
The authorized official title is Owner and has the following contact phone number (352) 394-3929.

The enumeration date for this NPI number is 1/2/2008 and was last updated on 9/30/2015.

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	207Q00000X	Family Medicine		ME72542	FLORIDA	No
2	208000000X	Pediatrics		ME72542	FLORIDA	No
3	261QR1300X	Clinic/Center	Rural Health	ME72542	FLORIDA	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
1	660212600	MEDICAID	FLORIDA
2	108981	MEDICARE OSCAR/CERTIFICATION	FLORIDA
3	H31342	MEDICARE UPIN	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: 11/14/2023

NPI Synchronization or Removal

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