PEDIATRIC ASSOCIATES OF ORLANDO, PA (NPI# 1245353895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245353895 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES OF ORLANDO, PA |
| Practice Address |
414 N Mills Ave Orlando FL 32803-5761 |
| Practice Telephone | 4078417296 |
| Practice Fax Number | 4078723913 |
| Mailing Telephone | 4078417296 |
| Mailing Fax Number | 4078723913 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | MARK B DIDEA (PHYSICIAN, OWNER) |
| Authorized Official Telephone | 4078417296 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
414 N MILLS AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-5761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871541847 | Colin J Condron | Pediatrics | 414 N Mills Ave, Orlando, FL 32803 | 2006-05-04 |
| 1407306129 | Erin Christine Markham | Nurse Practitioner | 414 N Mills Ave, Orlando, FL 32803 | 2016-10-05 |
| 1427427962 | Physician Associates LLC | Pediatrics | 414 N Mills Ave, Orlando, FL 32803-5722 | 2015-09-15 |
| 1669855102 | Lisandra Perez | Pediatrics | 414 N Mills Ave, Orlando, FL 32803 | 2015-07-01 |
| 1700080371 | Iris Michelle Lim | Pediatrics | 414 N Mills Ave, Orlando, FL 32803-5722 | 2007-06-14 |
| 1508971698 | Maria Elena Dumalaog | Pediatrics | 414 N Mills Ave, Orlando, FL 32803-5722 | 2006-08-20 |
| 1780633719 | Susan L Ryan | Pediatrics | 414 N Mills Ave, Orlando, FL 32803 | 2006-05-08 |
| 1598714529 | Gregory D Gordon | Pediatrics | 414 N Mills Ave, Orlando, FL 32803-5722 | 2006-05-08 |
| 1407805435 | Pamela D Andrew | Pediatrics | 414 N Mills Ave, Orlando, FL 32803 | 2006-05-08 |
| 1003864000 | Barbara J Gans | Pediatrics | 414 N Mills Ave, Orlando, FL 32803-5722 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961411 | Ileana Padilla | General Practice | 11521 Solaya Way Unit 307, Orlando, FL 32821-9453 | 2020-04-19 |
| 1376172965 | Sky Counseling Services LLC | General Practice | 12701 S John Young Pkwy Ste 202, Orlando, FL 32837-3422 | 2020-04-06 |
| 1174162853 | Gamalier Mestre | General Practice | 6001 Vineland Rd Ste 104, Orlando, FL 32819-7829 | 2019-12-30 |
| 1902448228 | Amilys Garcia Martin | General Practice | 1140 S Semoran Blvd Ste E, Orlando, FL 32807-1459 | 2019-10-09 |
| 1376005009 | Rejuvenation Care Clinic of Central Florida | General Practice | 12221 E Colonial Dr Apt 1105, Orlando, FL 32826-4762 | 2019-04-02 |
| 1073082236 | Medical Golden Clinic LLC | General Practice | 4365 Hunters Park Ln # 10, Orlando, FL 32837-7614 | 2018-11-16 |
| 1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
| 1366958910 | Orlando Therapy Center, Inc | General Practice | 6900 S Orange Blossom Trl Ste 300, Orlando, FL 32809-5736 | 2017-12-19 |
| 1679084164 | H&h Care Center LLC | General Practice | 707 Mendham Blvd Ste 104, Orlando, FL 32825-3245 | 2017-10-24 |
| 1356871735 | Rebeca Lidia Perez Sanchez | General Practice | 13017 Islamorada Dr, Orlando, FL 32837-4789 | 2017-06-18 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.