East Lake Pediatrics in Trinity - Pediatrics
East Lake Pediatrics - NPI 1144343617
East Lake Pediatrics is a Pediatrics in Trinity, Florida. East Lake Pediatrics practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for East Lake Pediatrics is 1144343617. The last update date is 2023-06-13.
East Lake Pediatrics's current location address is 2137 Little Rd, Trinity, Florida. You can contact this provider via phone number 7273726760 and fax number 7273726808. The mailing address for East Lake Pediatrics is 2137 Little Rd, Trinity, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | East Lake Pediatrics |
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Address | 2137 Little Rd, Trinity, Florida |
Phone Number | 7273726760 |
Fax Number | 7273726808 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER |
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Authorized Official Name | Montgomery Marie Melissa |
Telephone Number | 7273726760 |
NPI Number Detail
NPI Number | 1144343617 |
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Provider Enumeration Date | 2007-04-09 |
Last Updated Date | 2023-06-13 |
Provider Mailing Address Detail
Address | 2137 Little Rd |
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City | Trinity |
State | Florida (FL) |
Post Code | 346554410 |
Phone Number | 7273726760 |
Fax Number | 7273726808 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | ME86866 |
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 |
---|---|---|---|
OS9496 | FL | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to East Lake Pediatrics?
The East Lake Pediatrics has been issued the NPI (National Provider Identifier) 1144343617 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where East Lake Pediatrics's facilities are situated?
The facilities of East Lake Pediatrics are physically located at the following address: 2137 Little Rd, Trinity, FL, 346554410.
What is East Lake Pediatrics'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 East Lake Pediatrics is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did East Lake Pediatrics receive its 1144343617 assignment from the Centers for Medicare & Medicaid Services?
The East Lake Pediatrics was assigned its 1144343617 on 2007-04-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding East Lake Pediatrics, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to East Lake Pediatrics, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-06-13.
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