Pro Star Pediatrics
Pediatric Adolescent Medicine
Pro Star Pediatrics is a Orlando, Florida based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Pro Star Pediatrics is also known as
Rdv Sportsplex Pediatrics.
It is located at
8701 Maitland Summit Blvd, Orlando, Florida - 32810-5915. They can be contacted on phone at
407-916-4522 and fax number 407-916-4525.
NPI number (Unique professional ID) for Pro Star Pediatrics is
1972679223 which was assigned by NPPES on 28 Nov, 2006 and it was last updated on 20 Feb, 2014.
Pro Star Pediatrics license number is
ME0036554 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Pro Star Pediatrics specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Pro Star Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Pro Star Pediatrics |
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| Other Name : | Rdv Sportsplex Pediatrics |
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Business Address:
Pro Star 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 : | 8701 Maitland Summit Blvd
Orlando, FL, 32810-5915
United States |
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| Phone Number : | 407-916-4522 |
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| Fax Number : | 407-916-4525 |
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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 : | 1972679223 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 28 Nov, 2006 |
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| Last Updated On : | 20 Feb, 2014 |
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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 : | Alberto Cobian |
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| Official Title or Position : | VICE PRESIDENT |
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| Phone Number : | 407-916-4522 |
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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 Pro Star Pediatrics are as mentioned. Primary taxonomy code for Pro Star Pediatrics is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | ME0036554 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Pro Star Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003657000 | MEDICAID | FL | |
| 041847101 | MEDICAID | FL | |
| 269488300 | 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 : | 8701 Maitland Summit Blvd
Orlando, FL, 32810-5915
United States |
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| Phone Number : | 407-916-4522 |
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| Fax Number : | 407-916-4525 |
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Business Location:
Patients can refer following map for directions to
Pro Star 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.