FLORIDA PEDIATRIC CRITICAL CARE (NPI# 1093010605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093010605 |
| Entity Type | Organization |
| Organization Name | FLORIDA PEDIATRIC CRITICAL CARE |
| Practice Address |
1700 S 23rd St Fort Pierce FL 34950-4803 |
| Mailing Address |
Po Box 5187 Clearwater FL 33758-5187 |
| Practice Telephone | 7724684500 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| Authorized Official Name | ALBERTO MARANTE (PRESIDENT) |
| Authorized Official Telephone | 8883825603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427353648 | Florida Pediatric Critical Care | Pediatrics | 2201 45th St, West Palm Beach, FL 33407-2047 | 2011-01-19 |
| 1710014162 | Florida Pediatric Critical Care | Pediatrics | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2007-02-27 |
| 1851428205 | Florida Pediatric Critical Care | Pediatrics | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2007-02-27 |
| 1215064670 | Florida Pediatric Critical Care | Pediatrics | 901 45th St, West Palm Beach, FL 33407-2413 | 2007-02-27 |
| Street Address |
1700 S 23RD ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457358590 | Daniel Adam Picard | Internal Medicine | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2005-07-05 |
| 1245846013 | Nerlie Pierre | Nurse Anesthetist, Certified Registered | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-09-17 |
| 1548871148 | Jenna Barnes | Physical Therapist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-08-17 |
| 1033729975 | Lawnwood Anesthesia Providers LLC | Anesthesiology | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-08-05 |
| 1851914832 | Gregory Germain | Nurse Anesthetist, Certified Registered | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-05-25 |
| 1912520388 | Cassie Rebekah Paulus | Occupational Therapist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-05-20 |
| 1871130427 | Lindsay Bowers | Physician Assistant | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2019-12-03 |
| 1871143578 | Garry Desulme | Nurse Practitioner | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2019-09-14 |
| 1194290601 | Megan Lane | Pharmacist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2018-10-11 |
| 1669947164 | Julouse Etienne | Registered Nurse | 1700 S 23rd St, Fort Pierce, FL 34950-4899 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841132 | Stephanie Nicole Bratton | Pediatrics | 1505 Delaware Ave Ste 648, Fort Pierce, FL 34950-3975 | 2016-06-08 |
| 1386798221 | Giraldo Enrique Cepeda | Pediatrics | 1221 N Lawnwood Cir, Fort Pierce, FL 34950-4707 | 2007-01-22 |
| 1053460378 | Wendell Koblegard | Pediatrics | 2100 Nebraska Ave Ste 113, Fort Pierce, FL 34950-5968 | 2007-01-09 |
| 1396822862 | Saint Lucie Pediatrics Inc | Pediatrics | 2011 S 25th St Ste 105, Fort Pierce, FL 34947-4795 | 2006-11-01 |
| 1841227527 | Randall Debenneville Bertolette | Pediatrics | 3209 Virginia Ave, Florida State U. College of Medicine, Ft. Pierce Campus, Fort Pierce, FL 34981-5541 | 2006-06-27 |
| 1164408142 | Prudencio Estolero Laroya | Pediatrics | 1801 S 23rd St, Suite 3, Fort Pierce, FL 34950-4830 | 2005-12-21 |
| 1215938519 | Cheryl Elaine Wayne | Pediatrics | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2005-08-09 |
| 1649666413 | Malik Hamdan | Pediatrics | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2015-04-08 |
| 1457609505 | Raul Rodriguez-torres | Pediatrics | 2011 S 25th St Ste 105, Fort Pierce, FL 34947-4795 | 2012-08-21 |
| 1730326166 | Ramon A. Chiong, D.o., P.a. | Pediatrics | 2100 Nebraska Ave Ste 113, Fort Pierce, FL 34950-4831 | 2009-01-07 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.