Englewood Pediatrics, P.A.

LBN: Englewood Pediatrics, P.A.
Englewood Pediatrics, P.A. is an health care organization with primary practice located at 900 Pine St Unit 216-217 , Englewood FL 34223-4418. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Englewood Pediatrics, P.A. can be contacted via phone (941) 474-5093, or through Guastavino, Ella Marie via phone (941) 474-5093.

Contact Information

Primary practice address
900 Pine St Unit 216-217 Englewood FL 34223-4418
Phone: (941) 474-5093
Fax: (941) 474-9049
Website:
Map and Directions
Authorized official contact:
Name: Guastavino, Ella Marie Doctor of Medicine (MD)
Phone: (941) 474-5093

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0059964 Florida
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 0059964 Florida
Laboratories / Clinical Medical Laboratory 291U00000X 800002855 Florida

Profile Details

NPI number 1356470744
LBN Legal business name Englewood Pediatrics, P.A.
DBA Doing business as
Authorized official Guastavino, Ella Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2007
Last updated Nov 14th, 2017 - about 8 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 1356470744 NPPES
Florida MEDICAID 054195800

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