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NEMOURS CHILDREN'S HEALTH, THE VILLAGES, FLORIDA, PRIMARY CARE
NPI 1043889215
Pediatrics in The Villages, FL

Active since June 22, 2021CLIA 10D2161800 · Waiver
1400 N US HIGHWAY 441 STE 532, THE VILLAGES, FL 32159(407) 237-9700 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nemours Children's Health, The Villages, Florida, Primary Care NPPES

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

NEMOURS CHILDREN'S HEALTH, THE VILLAGES, FLORIDA, PRIMARY CARE (NPI 1043889215) is a healthcare organization registered as a pediatrics in The Villages, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through February 11, 2027, maintains a secondary practice location in The Villages, and lists Robert Bridges, Evp, Operations, as its authorized official.

NPPES Registry Identity

NPI1043889215
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNEMOURS CHILDREN'S HEALTH, THE VILLAGES, FLORIDA, PRIMARY CARE
Location Address1400 N US HIGHWAY 441 STE 532The Villages, FL 32159-8985
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532
Phone(407) 237-9700
Organization SubpartYesParent: Children's Health Alliance, Llc
Authorized OfficialRobert BridgesEvp, Operations · (904) 697-4000
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1043889215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
1400 N US HIGHWAY 441 STE 532, The Villages, FL 32159
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Secondary Practice Location 1

Location 11400 N US Highway 441 Ste 532The Villages, FL 32159-8985 · Phone (407) 237-9700

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2161800

Nemours Children's Health · The Villages, FL
Active · expires Feb 11, 2027
CLIA Number10D2161800
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorGreggy Laroche
Laboratory Phone(407) 650-7006
Laboratory LocationNemours Children's Health1400 Us Hwy 441 N Suite 532, The Villages, FL 32159
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHALESH KAUSHAL MD PHD
Ophthalmology
1400 N US HIGHWAY 441 STE 532
THE VILLAGES, FL 32159
Lake County (352) 484-1171

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 Nemours Children's Health, The Villages, Florida, Primary Care's NPI number?

The NPI number for Nemours Children's Health, The Villages, Florida, Primary Care is 1043889215. It was assigned to this organization in the NPPES registry on June 22, 2021.

Where is Nemours Children's Health, The Villages, Florida, Primary Care located?

Nemours Children's Health, The Villages, Florida, Primary Care is located at 1400 N Us Highway 441 Ste 532, The Villages, FL 32159. The listed phone number is (407) 237-9700.

What is Nemours Children's Health, The Villages, Florida, Primary Care's specialty?

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

Does Nemours Children's Health, The Villages, Florida, Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2161800) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nemours Children's Health, The Villages, Florida, Primary Care was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.