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CHILDRENS CLINIC OF PENSACOLA PA
NPI 1023256476
Pediatrics in Pensacola, FL

Active since January 22, 2009CLIA 10D1099418 · Waiver
4220 N DAVIS HWY STE 200, PENSACOLA, FL 32503(850) 477-5475(850) 477-8186 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Childrens Clinic Of Pensacola Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDRENS CLINIC OF PENSACOLA PA (NPI 1023256476) is a healthcare organization registered as a pediatrics in Pensacola, Florida and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Mylene M Victoriano, President, as its authorized official.

NPPES Registry Identity

NPI1023256476
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDRENS CLINIC OF PENSACOLA PA
Location Address4220 N DAVIS HWY STE 200Pensacola, FL 32503-2721
Mailing Address4220 N Davis Hwy Ste 200Pensacola, FL 32503-2721 · (850) 477-5475 · Fax (850) 477-8186
Phone(850) 477-5475
Fax(850) 477-8186
Organization SubpartNo
Authorized OfficialMylene M VictorianoPresident · (850) 477-5475
Enumeration DateJanuary 22, 2009
✔ NPI 1023256476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME89920✔ Licensed in FL · ME87962
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4220 N DAVIS HWY STE 200, Pensacola, FL 32503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1099418

Childrens Clinic Of Pensacola, PA · Pensacola, FL
Active · expires May 12, 2027
CLIA Number10D1099418
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorMylene S. Victoriano
Laboratory Phone(850) 477-5475
Laboratory LocationChildrens Clinic Of Pensacola, PA909 Garden Gate Cir, Pensacola, FL 32504
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Childrens Clinic Of Pensacola PA's NPI number?

The NPI number for Childrens Clinic Of Pensacola PA is 1023256476. It was assigned to this organization in the NPPES registry on January 22, 2009.

Where is Childrens Clinic Of Pensacola PA located?

Childrens Clinic Of Pensacola PA is located at 4220 N Davis Hwy Ste 200, Pensacola, FL 32503. The listed phone number is (850) 477-5475.

What is Childrens Clinic Of Pensacola PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Childrens Clinic Of Pensacola PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1099418) is associated with this NPI, valid through May 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Childrens Clinic Of Pensacola PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Childrens Clinic Of Pensacola PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Childrens Clinic Of Pensacola PA was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.