Progressive Pediatrics Of Orlando Pa

LBN: Progressive Pediatrics Of Orlando Pa
Progressive Pediatrics Of Orlando Pa is an health care organization with primary practice located at 521 W State Road 434 Suite 101, Longwood FL 32750. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Progressive Pediatrics Of Orlando Pa can be contacted via phone (407) 830-5437, or through Mireles, Alfonso via phone (407) 830-5437.

Contact Information

Primary practice address
521 W State Road 434 Suite 101 Longwood FL 32750
Phone: (407) 830-5437
Fax: (407) 834-4907
Website:
Map and Directions
Authorized official contact:
Name: Mireles, Alfonso Doctor of Medicine (MD)
Phone: (407) 830-5437

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME54968 Florida

Profile Details

NPI number 1992730550
LBN Legal business name Progressive Pediatrics Of Orlando Pa
DBA Doing business as
Authorized official Mireles, Alfonso Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated May 14th, 2008 - about 16 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 1992730550 NPPES
Florida MEDICAID 272040000

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