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:
Map and Directions
Authorized official contact:
Name: Pantoja Jr., Victor M.
Phone: (407) 518-0078

Health care specialties

SpecialtyCodeLicense #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 6 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 1144292756 NPPES
Florida MEDICAID 274049400

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