Advanced Kid'S Care

LBN: Advanced Kid'S Care
Advanced Kid'S Care is an health care organization with primary practice located at 98 Terra Mango Loop Unit 12, Orlando FL 32835. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Advanced Kid'S Care can be contacted via phone (419) 819-7137, or through Antonyrajah, Bernadette via phone (419) 819-7137.

Contact Information

Primary practice address
98 Terra Mango Loop Unit 12 Orlando FL 32835
Fax:
Website:
Authorized official contact:
Name: Antonyrajah, Bernadette Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME113681 Florida

Profile Details

NPI number 1396250098
LBN Legal business name Advanced Kid'S Care
DBA Doing business as
Authorized official Antonyrajah, Bernadette Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2017
Last updated Dec 5th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396250098 NPPES
Florida MEDICAID 3108461

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