Kidsville Pediatrics Iv, P.A. in Orlando - Pediatrics

Kidsville Pediatrics Iv, P.A. - NPI 1508955212

Kidsville Pediatrics Iv, P.A. is a Pediatrics in Orlando, Florida. Kidsville Pediatrics Iv, P.A. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kidsville Pediatrics Iv, P.A. is 1508955212. The last update date is 2019-08-13.

Kidsville Pediatrics Iv, P.A.'s current location address is 11886 Lake Underhill Rd, Orlando, Florida. You can contact this provider via phone number 4074477773 and fax number 4074477804. The mailing address for Kidsville Pediatrics Iv, P.A. is 11886 Lake Underhill Rd, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kidsville Pediatrics Iv, P.A.
Address 11886 Lake Underhill Rd, Orlando, Florida
Phone Number 4074477773
Fax Number 4074477804
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Gonzalez I. Francelis
Credentials MEDICAL DO
Telephone Number 4074477773

NPI Number Detail

NPI Number 1508955212
Provider Enumeration Date 2006-10-12
Last Updated Date 2019-08-13

Provider Mailing Address Detail

Address 11886 Lake Underhill Rd
City Orlando
State Florida (FL)
Post Code 328254436
Phone Number 4074477773
Fax Number 4074477804

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No ME-0074421
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
274349300 FL --

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FAQs about Kidsville Pediatrics Iv, P.A.

What is the unique 10-digit identifier code issued to Kidsville Pediatrics Iv, P.A. by the Centers for Medicare & Medicaid Services?

The Kidsville Pediatrics Iv, P.A. has been assigned the NPI (National Provider Identifier) 1508955212 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kidsville Pediatrics Iv, P.A. is physically located?

The Kidsville Pediatrics Iv, P.A. is situated at the following address: 11886 Lake Underhill Rd, Orlando, FL 328254436.

What is Kidsville Pediatrics Iv, P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kidsville Pediatrics Iv, P.A. is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Kidsville Pediatrics Iv, P.A. receive its 1508955212 assignment from the Centers for Medicare & Medicaid Services?

The Kidsville Pediatrics Iv, P.A. was assigned its 1508955212 by the Centers for Medicare & Medicaid Services on 2006-10-12.

When was the information related to Kidsville Pediatrics Iv, P.A. most recently updated or refreshed?

The details pertaining to the Kidsville Pediatrics Iv, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2019-08-13.

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