Englewood Pediatrics, P.A. in Englewood - Adolescent And Children Mental Health
Englewood Pediatrics, P.A. - NPI 1356470744
Englewood Pediatrics, P.A. is a Adolescent And Children Mental Health in Englewood, Florida. Englewood Pediatrics, P.A. practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Englewood Pediatrics, P.A. is 1356470744. The last update date is 2017-11-14.
Englewood Pediatrics, P.A.'s current location address is 900 Pine St Unit 216-217, Englewood, Florida. You can contact this provider via phone number 9414745093 and fax number 9414749049. The mailing address for Englewood Pediatrics, P.A. is 900 Pine St Unit 216-217, Englewood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Englewood Pediatrics, P.A. |
|---|---|
| Address | 900 Pine St Unit 216-217, Englewood, Florida |
| Phone Number | 9414745093 |
| Fax Number | 9414749049 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Guastavino Marie Ella |
| Credentials | M.D. |
| Telephone Number | 9414745093 |
NPI Number Detail
| NPI Number | 1356470744 |
|---|---|
| Provider Enumeration Date | 2007-03-03 |
| Last Updated Date | 2017-11-14 |
Provider Mailing Address Detail
| Address | 900 Pine St Unit 216-217 |
|---|---|
| City | Englewood |
| State | Florida (FL) |
| Post Code | 342234418 |
| Phone Number | 9414745093 |
| Fax Number | 9414749049 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | 59964 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54195800 | FL | -- |
Post Comment/ Review Below
What is the Englewood Pediatrics, P.A.'s unique identification number?
The Englewood Pediatrics, P.A. has been assigned the NPI (National Provider Identifier) Number 1356470744 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 Englewood Pediatrics, P.A. is physically located?
The Englewood Pediatrics, P.A. is situated at the following address: 900 Pine St Unit 216-217, Englewood, FL 342234418.
What is the Englewood Pediatrics, P.A.'s specialty and taxonomy code?
The Englewood Pediatrics, P.A.'s specialty is Adolescent And Children Mental Health, and the corresponding taxonomy code is 261Qm0855X.
On what date did the Englewood Pediatrics, P.A. receive the assignment of its 1356470744 from the Centers for Medicare & Medicaid Services?
The Englewood Pediatrics, P.A. was issued its 1356470744 by the Centers for Medicare & Medicaid Services on 2007-03-03.
As of what date was the information pertaining to Englewood Pediatrics, P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Englewood Pediatrics, P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-11-14.