Gold Star Pediatrics Pa
Pediatric Neonatal-Perinatal Medicine
Gold Star Pediatrics Pa is a North Port, Florida based Pediatric center with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
It is located at
1400 Lake Breeze Ct, North Port, Florida - 34291-8023. They can be contacted on phone at
732-309-1292.
NPI number (Unique professional ID) for Gold Star Pediatrics Pa is
1669129342 which was assigned by NPPES on 03 Mar, 2022 and it was last updated on 14 Jan, 2023.
Gold Star Pediatrics Pa is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Gold Star Pediatrics Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Neonatal-Perinatal Medicine |
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| Provider Name : | Gold Star Pediatrics Pa |
|---|
Business Address:
Gold Star Pediatrics Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1400 Lake Breeze Ct
North Port, FL, 34291-8023
United States |
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| Phone Number : | 732-309-1292 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669129342 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 03 Mar, 2022 |
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| Last Updated On : | 14 Jan, 2023 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jigneshbhogilal Patel |
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| Official Title or Position : | President |
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| Phone Number : | 9412665629 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gold Star Pediatrics Pa are as mentioned. Primary taxonomy code for Gold Star Pediatrics Pa is
2080N0001X (Pediatrics, Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | | - |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | Yes | | - |
Legacy Identifiers:
Other legacy medical identifiers of Gold Star Pediatrics Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1003082280 | Other (non-Medicare) | FL | NPI |
| 281244400 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2500 HARBOR BLVD,
PORT CHARLOTTE, FL, 33952-5000
United States | PORT CHARLOTTE, FL | 941-266-5629 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3149 Bobcat Village Center Rd # 14
North Port, FL, 34288-8974
United States |
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| Phone Number : | 732-309-1292 |
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Business Location:
Patients can refer following map for directions to
Gold Star Pediatrics Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.