Port Orange Pediatrics P A in Port Orange - Pediatrics
Port Orange Pediatrics P A - NPI 1902084064
Port Orange Pediatrics P A is a Pediatrics in Port Orange, Florida. Port Orange Pediatrics P A practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Port Orange Pediatrics P A is 1902084064. The last update date is 2022-01-26.
Port Orange Pediatrics P A's current location address is 1728 Dunlawton Ave Ste 1, Port Orange, Florida. You can contact this provider via phone number 3863225390 and fax number 3863225391. The mailing address for Port Orange Pediatrics P A is 1728 Dunlawton Ave Ste 1, Port Orange, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Port Orange Pediatrics P A |
|---|---|
| Address | 1728 Dunlawton Ave Ste 1, Port Orange, Florida |
| Phone Number | 3863225390 |
| Fax Number | 3863225391 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lopez J Ruben |
| Credentials | MD |
| Telephone Number | 3863225390 |
NPI Number Detail
| NPI Number | 1902084064 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2022-01-26 |
Provider Mailing Address Detail
| Address | 1728 Dunlawton Ave Ste 1 |
|---|---|
| City | Port Orange |
| State | Florida (FL) |
| Post Code | 321272923 |
| Phone Number | 3863225390 |
| Fax Number | 3863225391 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | ME0068668 |
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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 |
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Post Comment/ Review Below
What is the Port Orange Pediatrics P A's unique identification number?
The Port Orange Pediatrics P A has been assigned the NPI (National Provider Identifier) Number 1902084064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Port Orange Pediatrics P A is physically located?
The Port Orange Pediatrics P A is situated at the following address: 1728 Dunlawton Ave Ste 1, Port Orange, FL 321272923.
What is the Port Orange Pediatrics P A's area of specialization and corresponding taxonomy classification?
The Port Orange Pediatrics P A's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
When did the Port Orange Pediatrics P A receive its 1902084064?
The Port Orange Pediatrics P A was issued its 1902084064 on 2008-01-31, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Port Orange Pediatrics P A, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Port Orange Pediatrics P A, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-01-26.