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NIGHT LITE PEDIATRIC CENTER, LLC
NPI 1104585132
Pediatrics in Winter Garden, FL

Active since December 17, 2021CLIA 10D1048573 · Waiver
13750 W COLONIAL DR, WINTER GARDEN, FL 34787(407) 398-6470 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Jan 19, 2022, Dec 17, 2021 (3 updates tracked since 2021).

About Night Lite Pediatric Center, Llc NPPES

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

NIGHT LITE PEDIATRIC CENTER, LLC (NPI 1104585132) is a healthcare organization registered as a pediatrics in Winter Garden, Florida and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Danielle Marie Lopez, Manager Credentialing/ Enrollment, as its authorized official.

NPPES Registry Identity

NPI1104585132
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNIGHT LITE PEDIATRIC CENTER, LLC
Location Address13750 W COLONIAL DRWinter Garden, FL 34787-4204
Mailing Address1 Hollow Ln Ste 301New Hyde Park, NY 11042-1215 · (516) 207-7936
Phone(407) 398-6470
Organization SubpartNo
Authorized OfficialDanielle Marie LopezManager Credentialing/ Enrollment · (516) 207-7936
Enumeration DateDecember 17, 2021
Last NPPES UpdateJanuary 21, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1104585132 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.
13750 W COLONIAL DR, Winter Garden, FL 34787
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Other Identifiers 1

Medicaid113228406FL

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 SINGLE 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 10D1048573

Night Lite Pediatric Center LLC · Winter Garden, FL
Active · expires Jun 12, 2027
CLIA Number10D1048573
Laboratory TypeUrgent Care
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorOludapo Soremi
Laboratory Phone(407) 905-4717
Laboratory LocationNight Lite Pediatric Center LLC13750 W Colonial Dr Ste 250, Winter Garden, FL 34787
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DR. KAREN ROBERT
Pharmacist
13750 W COLONIAL DR
WINTER GARDEN, FL 34787
Orange County (407) 731-5616
SHIRA HINDS PHARMD
Pharmacist
13750 W COLONIAL DR
WINTER GARDEN, FL 34787
Orange County (407) 654-9697
DIXIE MCCUNE PHARMD
Pharmacist
13750 W COLONIAL DR
WINTER GARDEN, FL 34787
Orange County (407) 654-9697
JENNIFER C BOURST DC PA
Chiropractor
13750 W COLONIAL DR, SUITE 318
WINTER GARDEN, FL 34787
Orange County (407) 654-4506
MARINA MANSOUR
Pharmacist
13750 W COLONIAL DR
WINTER GARDEN, FL 34787
Orange County (407) 654-9697
PUBLIX SUPER MARKETS INC
Pharmacy (Community/Retail Pharmacy)
13750 W COLONIAL DR
WINTER GARDEN, FL 34787
Orange County (407) 654-9697
ANDREW PAUL GJURICH
Pharmacist
13750 W COLONIAL DR
WINTER GARDEN, FL 34787
Orange County (407) 654-9697
FL CLINICAL CONSULTANTS LLC
Nurse Practitioner (Family)
13750 W COLONIAL DR, SUITE 350, #219
WINTER GARDEN, FL 34787
Orange County (407) 270-1957

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 Night Lite Pediatric Center, LLC's NPI number?

The NPI number for Night Lite Pediatric Center, LLC is 1104585132. It was assigned to this organization in the NPPES registry on December 17, 2021.

Where is Night Lite Pediatric Center, LLC located?

Night Lite Pediatric Center, LLC is located at 13750 W Colonial Dr, Winter Garden, FL 34787. The listed phone number is (407) 398-6470.

What is Night Lite Pediatric Center, LLC's specialty?

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

Does Night Lite Pediatric Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1048573) is associated with this NPI, valid through June 12, 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 Night Lite Pediatric Center, LLC was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.