FLORIDA PEDIATRIC ASSOCIATES, LLC (NPI# 1447553805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447553805 |
| Entity Type | Organization |
| Organization Name | FLORIDA PEDIATRIC ASSOCIATES, LLC |
| Other Organization Name | FLORIDA PEDIATRIC ASSOC OPTICAL ORLANDO |
| Practice Address |
1781 Park Center Dr Suite 220 Orlando FL 32835-6254 |
| Mailing Address |
1033 Dr Martin Luther King Jr St N Suite 108 St Petersburg FL 33701-1547 |
| Practice Telephone | 4073987730 |
| Practice Fax Number | 4073987740 |
| Mailing Telephone | 7274563288 |
| Mailing Fax Number | 7274563289 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |
| Authorized Official Name | SHEILA A TATHAM (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7274564250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | 38313 | 01 |
| Other Name | Type Code |
|---|---|
| Florida Pediatric Assoc Optical Orlando | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376846733 | Florida Pediatric Associates, LLC | Pediatrics | 790 Concourse Pkwy S, Suite 200, Maitland, FL 32751-6114 | 2010-12-07 |
| Street Address |
1781 PARK CENTER DR SUITE 220 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-6254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609850775 | Michael S Melton | Family Medicine | 1781 Park Center Dr, Su 120, Orlando, FL 32835-6254 | 2005-12-02 |
| 1649694795 | Yonit Shames | Audiologist | 1781 Park Center Dr, Suite 210, Orlando, FL 32835-6254 | 2014-02-10 |
| 1053758722 | Physicians Care Centers of Orlando LLC | Family Medicine | 1781 Park Center Dr, Ste 120, Orlando, FL 32835-6254 | 2013-06-04 |
| 1295999191 | Kristin Marie Walsh | Internal Medicine | 1781 Park Center Dr, Suite 120, Orlando, FL 32835-6254 | 2008-07-10 |
| 1780762849 | Bradley R Reese | Otolaryngology | 1781 Park Center Dr, Suite 210, Orlando, FL 32835-6254 | 2006-11-02 |
| 1144302480 | Robert M Meyer Md Pa | Internal Medicine | 1781 Park Center Dr, Suite 120, Orlando, FL 32835-6254 | 2006-10-19 |
| 1558450155 | Margaret Celeste Vives-austin | Emergency Medicine | 1781 Park Center Dr, Su 120, Orlando, FL 32835-6254 | 2006-10-12 |
| 1265465009 | Robert Mitchell Meyer | Internal Medicine | 1781 Park Center Dr, Suite 120, Orlando, FL 32835-6254 | 2006-07-07 |
| 1003856782 | Eye Physicians of Central Florida | Ophthalmology | 1781 Park Center Dr, Suite 220, Orlando, FL 32835-6254 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| 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 |
|---|---|---|---|---|
| 1891329355 | Brittani Newport | Pediatrics | 10743 Narcoossee Rd Ste A13, Orlando, FL 32832-6946 | 2020-02-24 |
| 1467091959 | Jennifer Dolcater Ketchersid | Pediatrics | 2501 N Orange Ave Ste 586, Orlando, FL 32804-4603 | 2019-12-31 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1467977454 | Physician Associates LLC | Pediatrics | 14065 Town Loop Blvd Ste 300, Orlando, FL 32837-6199 | 2017-08-10 |
| 1609320837 | Starus Pediatrics LLC | Pediatrics | 6001 Vineland Rd Ste 103, Orlando, FL 32819-7829 | 2016-08-04 |
| 1942656517 | Vijay Mehta | Pediatrics | 60 W Gore St # Mp373, Orlando, FL 32806 | 2016-05-12 |
| 1124401674 | Kelsey Wehrenberg | Pediatrics | 83 Columbia St Ste 202, Orlando, FL 32806 | 2015-07-01 |
| 1396138319 | Premier Physician Associates LLC | Pediatrics | 13651 Hunters Oak Dr, Ste 101, Orlando, FL 32837-7679 | 2015-03-16 |
| 1073917076 | Abdollah Iravani Md Pa | Pediatrics | 2106 N Orange Ave # 100, Orlando, FL 32804-5535 | 2014-10-20 |
| 1720407620 | Christopher Dudek | Pediatrics | 86 W Underwood St Ste 200, Orlando, FL 32806-1110 | 2014-04-08 |
| 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.