FLORIDA PEDIATRIC GROUP PA (NPI# 1396962734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396962734 |
| Entity Type | Organization |
| Organization Name | FLORIDA PEDIATRIC GROUP PA |
| Practice Address |
240 N Wickham Rd Ste 102 Melbourne FL 32935-8663 |
| Practice Telephone | 3217525210 |
| Practice Fax Number | 3217525388 |
| Mailing Telephone | 3217525210 |
| Mailing Fax Number | 3217525388 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-10-26 |
| Authorized Official Name | MR. BASIM D FARID (BILLING DEPARTMENT) |
| Authorized Official Telephone | 3217525210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME81059 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 259807800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528438694 | Florida Pediatric Group Pa | Pediatrics | 250 S Wickham Rd, West Melbourne, FL 32904-1134 | 2015-10-01 |
| Street Address |
240 N WICKHAM RD STE 102 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-8663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730328543 | Lea Caroll Tschorn Dickens | Nurse Practitioner | 240 N Wickham Rd Ste 102, Melbourne, FL 32935-8663 | 2009-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| 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 |
|---|---|---|---|---|
| 1477029825 | The Brevard Health Alliance, Inc. | Pediatrics | 2120 Sarno Rd Ste 2, Melbourne, FL 32935-3084 | 2018-10-23 |
| 1891150231 | Sharon Dillon Md, Pa | Pediatrics | 3150 N Wickham Rd Ste 6, Melbourne, FL 32935-2322 | 2015-12-30 |
| 1669559563 | Anne H Beressi | Pediatrics | 1270 N Wickham Rd Ste 50, Melbourne, FL 32935-8939 | 2006-11-01 |
| 1558311282 | Sharon Angela Dillon | Pediatrics | 3150 N Wickham Rd, Melbourne, FL 32935-2322 | 2006-05-11 |
| 1134193816 | Ellen M Altenburg | Pediatrics | 6300 N Wickham Rd Ste 132b, Melbourne, FL 32940-2023 | 2006-02-17 |
| 1235139973 | Paul Tebbe | Pediatrics | 7332 Office Park Pl, Suite 103, Melbourne, FL 32940-8241 | 2005-07-22 |
| 1841290566 | Heather Findlan | Pediatrics | 1755 W Hibiscus Blvd, Melbourne, FL 32901-2616 | 2005-07-22 |
| 1912901455 | Robert D. Karch | Pediatrics | 1350 S Hickory Street, Holmes Regional Medical Center, Melbourne, FL 32901 | 2005-06-13 |
| 1649273178 | David Andrew Helft | Pediatrics | 1310 W Eau Gallie Blvd, Suite C, Melbourne, FL 32935-5300 | 2005-05-30 |
| 1740635747 | Binh Vu | Pediatrics | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2016-04-27 |
| Find all providers in MELBOURNE | ||||
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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.