Kidsville Pediatrics Ii, P.A.
LBN: Kidsville Pediatrics Ii, P.A.
Kidsville Pediatrics Ii, P.A. is an health care organization with primary practice located at 1050 W Carroll St , Kissimmee FL 34741-1268. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Kidsville Pediatrics Ii, P.A. can be contacted via phone (407) 518-0078, or through Pantoja Jr., Victor M. via phone (407) 518-0078.
Contact Information
Primary practice address
1050 W Carroll St
Kissimmee FL 34741-1268
Phone: (407) 518-0078
Fax: (407) 518-0094
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME-0074421 | Florida |
Profile Details
NPI number | 1144292756 |
---|---|
LBN Legal business name | Kidsville Pediatrics Ii, P.A. |
DBA Doing business as | |
Authorized official | Pantoja Jr., Victor M. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 7th, 2006 |
Last updated | Aug 13th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144292756 | NPPES |
Florida | MEDICAID | 274049400 |
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