Kidsville Pediatrics Iii, P.A.

LBN: Kidsville Pediatrics Iii, P.A.
Kidsville Pediatrics Iii, P.A. is an health care organization with primary practice located at 1804 Oakley Seaver Blvd Suite-C, Clermont FL 34711-1925. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Kidsville Pediatrics Iii, P.A. can be contacted via phone (352) 242-1021, or through Pantoja Jr., Victor M. via phone (352) 242-1021.

Contact Information

Primary practice address
1804 Oakley Seaver Blvd Suite-C Clermont FL 34711-1925
Phone: (352) 242-1021
Fax: (352) 242-1104
Website:
Map and Directions
Authorized official contact:
Name: Pantoja Jr., Victor M.
Phone: (352) 242-1021

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME-0074421 Florida

Profile Details

NPI number 1215901723
LBN Legal business name Kidsville Pediatrics Iii, P.A.
DBA Doing business as
Authorized official Pantoja Jr., Victor M.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 7th, 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 1215901723 NPPES
Florida Other FL206A MEDICARE
Florida MEDICAID 001599400 MEDICARE

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