TOTS & TEENS PEDIATRICS, LLC (NPI# 1427432590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427432590 |
| Entity Type | Organization |
| Organization Name | TOTS & TEENS PEDIATRICS, LLC |
| Practice Address |
4691 Old Canoe Creek Rd Saint Cloud FL 34769-1550 |
| Mailing Address |
3393 Amaca Cir Orlando FL 32837-7147 |
| Practice Telephone | 4077668105 |
| Mailing Telephone | 4077668105 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | DR. ALAA ELBANNA (MANAGER) |
| Authorized Official Telephone | 4077668105 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME105478 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4691 OLD CANOE CREEK RD |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679724272 | Hala Abouelmagd | Pediatrics | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2008-10-02 |
| 1457826471 | Monica Ester Lee | Pediatrics | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2018-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| 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 |
|---|---|---|---|---|
| 1679724272 | Hala Abouelmagd | Pediatrics | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2008-10-02 |
| 1093859654 | Leslie Jean Mortland | Pediatrics | 1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric and Adolescent, Saint Cloud, MN 56303-5000 | 2007-02-16 |
| 1679564728 | Weining Hu | Pediatrics | 1511 Northway Dr Ste 201, Saint Cloud, MN 56303-1276 | 2005-10-28 |
| 1942816533 | St. Cloud Pediatrics LLC | Pediatrics | 1511 Northway Dr Ste 201, Saint Cloud, MN 56303-1276 | 2020-09-18 |
| 1457826471 | Monica Ester Lee | Pediatrics | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2018-10-05 |
| 1487191664 | Shauna Mullings | Pediatrics | 1900 Centracare Circle #1300, Centracare Clinic Pediatric/adolescent Medicine, Saint Cloud, MN 56303-5000 | 2017-01-25 |
| 1205280047 | Nathan Charles Messbarger | Pediatrics | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2016-04-18 |
| 1982084976 | Kelsey Jackson | Pediatrics | 1406 6th Ave N, Saint Cloud, MN 56303 | 2015-06-04 |
| 1548680937 | Nicholas Ryan | Pediatrics | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2014-04-24 |
| 1518260876 | Andrew O'connor Maloney | Pediatrics | 1900 Centracare Cir # 2300, Centracare Clinic Women & Children, Saint Cloud, MN 56303-5000 | 2010-12-08 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
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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.