Palm Bay Pediatrics
Pediatrics
Palm Bay Pediatrics is a Malabar, Florida based Pediatric center with medical specialization in
General Pediatrics.
It is located at
775 Malabar Rd, Malabar, Florida - 32950-3120. They can be contacted on phone at
321-722-8435 and fax number 321-722-8486.
NPI number (Unique professional ID) for Palm Bay Pediatrics is
1770731291 which was assigned by NPPES on 09 Sep, 2008 and it was last updated on 09 Sep, 2008.
Palm Bay Pediatrics license number is
ME63747 for Pediatrics (208000000X) in Florida.
Palm Bay Pediatrics 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:
Palm Bay Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Palm Bay Pediatrics |
|---|
Business Address:
Palm Bay Pediatrics 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 : | 775 Malabar Rd
Malabar, FL, 32950-3120
United States |
|---|
| Phone Number : | 321-722-8435 |
|---|
| Fax Number : | 321-722-8486 |
|---|
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 : | 1770731291 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 09 Sep, 2008 |
|---|
| Last Updated On : | 09 Sep, 2008 |
|---|
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 : | Dorismargarita Leedy |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | OWNER/PHYSICIAN |
|---|
| Phone Number : | 321-722-8435 |
|---|
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 Palm Bay Pediatrics are as mentioned. Primary taxonomy code for Palm Bay Pediatrics is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | ME63747 | FL |
| 208000000X | Pediatrics | Yes | ME63747 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Palm Bay Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3736201002 | Other | FL | CIGNA |
| 632833 | Other | FL | AETNA |
| 18683 | Other | FL | BLUE CROSS BLUE SHIELD |
| ========= | Other | FL | TAX ID NUMBER |
| E41429 | Other | FL | UPIN |
| ========= | Other | FL | UNITEDHEALTHCARE |
| ========= | Other | FL | HEALTHFIRST |
| 372797100 | MEDICAID | FL | |
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 : | 775 Malabar Rd
Malabar, FL, 32950-3120
United States |
|---|
| Phone Number : | 321-722-8435 |
|---|
| Fax Number : | 321-722-8486 |
|---|
Business Location:
Patients can refer following map for directions to
Palm Bay Pediatrics 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.