Kidsville Pediatrics Iv, P.a.
Pediatrics
Kidsville Pediatrics Iv, P.a. is a Orlando, Florida based Pediatric center with medical specialization in
General Pediatrics.
It is located at
11886 Lake Underhill Rd, Orlando, Florida - 32825-4436. They can be contacted on phone at
407-447-7773 and fax number 407-447-7804.
NPI number (Unique professional ID) for Kidsville Pediatrics Iv, P.a. is
1508955212 which was assigned by NPPES on 12 Oct, 2006 and it was last updated on 13 Aug, 2019.
Kidsville Pediatrics Iv, P.a. license number is
ME-0074421 for Pediatrics (208000000X) in Florida.
Kidsville Pediatrics Iv, P.a. is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kidsville Pediatrics Iv, P.a. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kidsville Pediatrics Iv, P.a. |
|---|
Business Address:
Kidsville Pediatrics Iv, P.a. 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 : | 11886 Lake Underhill Rd
Orlando, FL, 32825-4436
United States |
|---|
| Phone Number : | 407-447-7773 |
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| Fax Number : | 407-447-7804 |
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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 : | 1508955212 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 12 Oct, 2006 |
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| Last Updated On : | 13 Aug, 2019 |
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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 : | Francelisi. Gonzalez |
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| Authorized Official Credential : | MEDICAL DOCTOR |
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| Official Title or Position : | CEO |
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| Phone Number : | 407-447-7773 |
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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 Kidsville Pediatrics Iv, P.a. are as mentioned. Primary taxonomy code for Kidsville Pediatrics Iv, P.a. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME-0074421 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Kidsville Pediatrics Iv, P.a. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 274349300 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
12315 LAKE UNDERHILL RD, SUITE-B
ORLANDO, FL, 32828-4507
United States | ORLANDO, FL | 407-447-7773 |
11886 LAKE UNDERHILL RD,
ORLANDO, FL, 32825-4436
United States | ORLANDO, FL | 407-447-7773 |
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 : | 11886 Lake Underhill Rd
Orlando, FL, 32825-4436
United States |
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| Phone Number : | 407-447-7773 |
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| Fax Number : | 407-447-7804 |
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Business Location:
Patients can refer following map for directions to
Kidsville Pediatrics Iv, P.a. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.