Pediatric Surgery P.A. in Orlando - Pediatric Surgery

Pediatric Surgery P.A. - NPI 1023039351

Pediatric Surgery P.A. is a Pediatric Surgery in Orlando, Florida. Pediatric Surgery P.A. practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Pediatric Surgery P.A. is 1023039351. The last update date is 2015-11-18.

Pediatric Surgery P.A.'s current location address is 1220 Sligh Blvd, Orlando, Florida. You can contact this provider via phone number 4072284774 and fax number 4072282128. The mailing address for Pediatric Surgery P.A. is 1220 Sligh Blvd, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Surgery P.A.
Address 1220 Sligh Blvd, Orlando, Florida
Phone Number 4072284774
Fax Number 4072282128
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Chaet S Mark
Credentials MD
Telephone Number 4072284774

NPI Number Detail

NPI Number 1023039351
Provider Enumeration Date 2006-07-21
Last Updated Date 2015-11-18

Provider Mailing Address Detail

Address 1220 Sligh Blvd
City Orlando
State Florida (FL)
Post Code 328061108
Phone Number 4072284774
Fax Number 4072282128

Provider's Primary Taxonomy Detail

Speciality Pediatric Surgery
Taxonomy 2086S0120X
Definition:
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
253269700 FL --

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FAQs about Pediatric Surgery P.A.

What is the unique 10-digit identifier code issued to Pediatric Surgery P.A. by the Centers for Medicare & Medicaid Services?

The Pediatric Surgery P.A. has been assigned the NPI (National Provider Identifier) 1023039351 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Pediatric Surgery P.A.'s physical address?

The Pediatric Surgery P.A. is physically located at 1220 Sligh Blvd, in the city of Orlando, FL, with the postal code 328061108.

What is Pediatric Surgery P.A.'s area of expertise and its corresponding taxonomy classification?

The Pediatric Surgery P.A.'s field of specialization is Pediatric Surgery, and it falls under the taxonomy code 2086S0120X, which categorizes healthcare providers based on their areas of practice.

On what date did the Pediatric Surgery P.A. receive the assignment of its 1023039351 from the Centers for Medicare & Medicaid Services?

The Pediatric Surgery P.A. was issued its 1023039351 by the Centers for Medicare & Medicaid Services on 2006-07-21.

When was the information related to Pediatric Surgery P.A. most recently updated or refreshed?

The details pertaining to the Pediatric Surgery P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2015-11-18.

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