Spark Pediatrics

LBN: Csi-Pediatric Services, Llc.
Spark Pediatrics is an health care organization with primary practice located at 1788 Se Indian St Unit J, K, Stuart FL 34997-4919. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Csi-Pediatric Services, Llc. can be contacted via phone (772) 247-1888, or through Lodato, Donna via phone (786) 522-9600.

Contact Information

Primary practice address
1788 Se Indian St Unit J, K Stuart FL 34997-4919
Phone: (772) 247-1888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lodato, Donna Registered Nurse (RN)
Phone: (786) 522-9600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1427501782
LBN Legal business name Csi-Pediatric Services, Llc.
DBA Doing business as Spark Pediatrics
Authorized official Lodato, Donna Registered Nurse (RN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 3rd, 2016
Last updated Jul 13th, 2022 - about 2 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 1427501782 NPPES
Florida MEDICAID 024133100

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