CENTRAL FLORIDA PEDIATRICS INTENSIVE CARE SPEC (NPI# 1184711442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184711442 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA PEDIATRICS INTENSIVE CARE SPEC |
| Other Organization Name | NIGHT LITE PEDIATRICS |
| Practice Address |
844 N Thornton Ave Orlando FL 32803-4003 |
| Mailing Address |
1349 Ballentyne Pl Apopka FL 32703-6870 |
| Practice Telephone | 4078948768 |
| Practice Fax Number | 4078946872 |
| Mailing Telephone | 4078948768 |
| Mailing Fax Number | 4078946872 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. OLUDAPO F SOREMI (PHYSICIAN) |
| Authorized Official Telephone | 4078948768 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME73889 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Night Lite Pediatrics | Other Name - Individual/Organization |
| Street Address |
844 N THORNTON AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510608 | Mark J Sigman | Pediatrics | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2005-06-28 |
| 1275937286 | Mallory Gaytan-panda | Physician Assistant | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2014-10-20 |
| 1962802017 | Caitlyn Moore | Physician Assistant | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2014-08-26 |
| 1205132735 | Nira K Patel | Pediatrics | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2011-02-01 |
| 1235430034 | Whitney Hanna Balmert | Pediatrics | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2010-11-10 |
| 1215188743 | Fatan Jaafar | Pediatrics | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2008-10-02 |
| 1225200116 | Peter K Hervie | Pediatrics | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2008-03-31 |
| 1184818932 | Natalia M. Wetterer | Pediatrics | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2007-09-04 |
| 1952516742 | Jaqueline Mariette Freyre-cubano | Pediatrics | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2007-05-14 |
| 1477522373 | James Eric Dennemeyer | Pediatrics | 844 N Thornton Ave, Orlando, FL 32803-4003 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861577256 | Mark Swanson | Pediatrics | 92 West Miller Street, Orlando, FL 32806 | 2006-10-26 |
| 1013024785 | Mary Farrell | Pediatrics | 1814 Lucerne Terrace, Suite C, Orlando, FL 32806 | 2006-08-25 |
| 1003885104 | Adalberto Torres | Pediatrics | 1717 S Orange St, Ste 100, Nemours Childrens Clinic, Orlando, FL 32806-2946 | 2006-03-14 |
| 1700496171 | Meghan Alexandra Moberly | Pediatrics | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-07-31 |
| 1457993933 | Britni Norris | Pediatrics | 92 W Miller St, Orlando, FL 32806-2036 | 2019-10-16 |
| 1881119667 | Tammy J Bectel | Pediatrics | 2501 N Orange Ave Ste 310, Orlando, FL 32804-4642 | 2017-08-14 |
| 1932503349 | Alberto Marante | Pediatrics | 601 E Rollins St, Orlando, FL 32803-1248 | 2014-10-14 |
| 1104246545 | Shannon Renee Faulkinberry | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2014-04-24 |
| 1891127965 | Jose Alfonso Decamps-solano | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2013-07-31 |
| 1790122216 | Jui Shah | Pediatrics | 86 W Underwood St, Suite 202, Orlando, FL 32806-1110 | 2013-05-23 |
| Find all providers in ORLANDO | ||||
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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.