Pro Star Pediatrics in Orlando - Adolescent Medicine
Pro Star Pediatrics - NPI 1972679223
Pro Star Pediatrics is a Adolescent Medicine in Orlando, Florida. Pro Star Pediatrics practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Pro Star Pediatrics is 1972679223. The last update date is 2014-02-20.
Pro Star Pediatrics's current location address is 8701 Maitland Summit Blvd, Orlando, Florida. You can contact this provider via phone number 4079164522 and fax number 4079164525. The mailing address for Pro Star Pediatrics is 8701 Maitland Summit Blvd, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pro Star Pediatrics |
|---|---|
| Address | 8701 Maitland Summit Blvd, Orlando, Florida |
| Phone Number | 4079164522 |
| Fax Number | 4079164525 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Cobian Alberto |
| Telephone Number | 4079164522 |
NPI Number Detail
| NPI Number | 1972679223 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2014-02-20 |
Provider Mailing Address Detail
| Address | 8701 Maitland Summit Blvd |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328105915 |
| Phone Number | 4079164522 |
| Fax Number | 4079164525 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | ME0036554 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269488300 | FL | -- | |
| 3657000 | FL | -- | |
| 41847101 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pro Star Pediatrics by the Centers for Medicare & Medicaid Services (CMS)?
The Pro Star Pediatrics has been assigned the NPI (National Provider Identifier) 1972679223. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Pro Star Pediatrics is located?
The Pro Star Pediatrics is situated at the following address: 8701 Maitland Summit Blvd, Orlando, FL, 328105915.
What is the Pro Star Pediatrics's specialty and taxonomy code?
The Pro Star Pediatrics's specialty is Adolescent Medicine, and the corresponding taxonomy code is 2080A0000X.
When did Pro Star Pediatrics receive its 1972679223 assignment?
The Pro Star Pediatrics was assigned its 1972679223 on 2006-11-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Pro Star Pediatrics last refreshed?
The information related to the Pro Star Pediatrics, including its address, specialty, and other relevant details, was last updated on 2014-02-20.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN