Rdv Sportsplex Pediatrics

LBN: Pro Star Pediatrics
Rdv Sportsplex Pediatrics is an health care organization with primary practice located at 8701 Maitland Summit Blvd , Orlando FL 32810-5915. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Pro Star Pediatrics can be contacted via phone (407) 916-4522, or through Cobian, Alberto via phone (407) 916-4522.

Contact Information

Primary practice address
8701 Maitland Summit Blvd Orlando FL 32810-5915
Phone: (407) 916-4522
Fax: (407) 916-4525
Website:
Map and Directions
Authorized official contact:
Name: Cobian, Alberto
Phone: (407) 916-4522

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME0036554 Florida

Profile Details

NPI number 1972679223
LBN Legal business name Pro Star Pediatrics
DBA Doing business as Rdv Sportsplex Pediatrics
Authorized official Cobian, Alberto
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Feb 20th, 2014 - about 10 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 1972679223 NPPES
Florida MEDICAID 269488300
Florida MEDICAID 003657000
Florida MEDICAID 041847101

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