GROWING TOGETHER PEDIATRICS, LLC


Address: 5164 S. Conway Rd, Orlando, FL 32819-1252
Phone: 4077701414

GROWING TOGETHER PEDIATRICS, LLC (NPI# 1629322755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629322755
Entity Type Organization
Organization Name GROWING TOGETHER PEDIATRICS, LLC
Practice Address 5164 S. Conway Rd
Orlando
FL 32819-1252
Practice Telephone 4077701414
Mailing Telephone (407) 770-1414
Enumeration Date 2012-10-26
Last Update Date 2018-03-17
Authorized Official Name MR. ALAN JAMES MCHAFFIE (CEO)
Authorized Official Telephone 4077701414
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 008603700 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1583 E Silver Star Rd, Ocoee, FL 347612553 4077701414 4074478876

Office Location

Street Address 5164 S. CONWAY RD
City ORLANDO
State FL
Zip Code 32819-1252

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1417465584 Marckenson Gerson Janvier Nurse Practitioner 9401 Turkey Lake Rd, Orlando, FL 32819 2018-01-11
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1902343775 Darleen Walker Occupational Therapist 7243 Della Dr., Orlando, FL 32819 2017-01-31
1215483565 Krista Richardson Physical Therapist 9102 Universal Blvd., Orlando, FL 32819 2016-08-28
1841646536 Kiara Serrano Social Worker 7509 Pinemount Dr, Orlando, FL 32819 2016-05-11
1659749752 Angels for Kids On-call Case Management 7550 Future Drive Suite 105, Orlando, FL 32819 2015-09-04
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1194228668 Urgent Family Clinic, LLC Clinic/Center 1130 S Semoran Blvd Ste F, Orlando, FL 32807-1457 2018-03-12
1326541897 Urgent Family Clinic, LLC Clinic/Center 11601 S Orange Blossom Trl Ste 101, Orlando, FL 32837-9437 2018-03-12
1134620792 Lotus Family Health LLC Clinic/Center 1803 Park Center Dr Ste 111, Orlando, FL 32835-6216 2018-02-27
1487190609 Bones Medical Group Clinic/Center 8288 Lee Vista Blvd Ste A, Orlando, FL 32829-8071 2017-01-11
1568833093 Advantage Medical Group LLC Clinic/Center 1111-b S Semoran Blvd, Orlando, FL 32807-1480 2015-10-09
1497168173 Doctors At Home Tri County Clinic/Center 11954 Narcoossee Rd Ste 2 #504, Orlando, FL 32832-6998 2014-06-10
1700209400 Orange Ave Consulting Clinic/Center 2106 N Orange Ave, Orlando, FL 32804-5535 2014-01-31
1750621538 Florida Family Physicians Clinic/Center 2840 N Hiawassee Rd, Suite 428, Orlando, FL 32818-3319 2013-02-15
1558622068 Gutteridge Jeancharles, Md, Pa Clinic/Center 6388 Silver Star Rd Ste 2h, Orlando, FL 32818-3235 2012-05-31
1922398023 Community Health Centers, Inc Clinic/Center 19108 E Colonial Drive, Orlando, FL 32820 2011-04-11
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Competitor

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City ORLANDO
Zip Code 32819

Improve Information

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Dataset Information

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.

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