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407 PEDIATRICS LLC
NPI 1184504102
Pediatrics in Davenport, FL

Active since September 03, 2025CLIA 10D2331582 · Waiver
161 WEBB DR STE 300, DAVENPORT, FL 33837(407) 873-5979 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 407 Pediatrics Llc NPPES

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

407 PEDIATRICS LLC (NPI 1184504102) is a healthcare organization registered as a pediatrics in Davenport, Florida and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Danielle Hernandez, Registered Agent/owner, as its authorized official.

NPPES Registry Identity

NPI1184504102
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business Name407 PEDIATRICS LLC
Location Address161 WEBB DR STE 300Davenport, FL 33837-3965
Mailing Address161 Webb Dr Ste 300Davenport, FL 33837-3965 · (407) 873-5979
Phone(407) 873-5979
Organization SubpartNo
Authorized OfficialDanielle HernandezRegistered Agent/owner · (407) 873-5979
Enumeration DateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1184504102 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.
161 WEBB DR STE 300, Davenport, FL 33837
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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 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 10D2331582

407 Pediatrics LLC · Davenport, FL
Active · expires Oct 5, 2027
CLIA Number10D2331582
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorDanielle Hernandez
Laboratory Phone(407) 873-5979
Laboratory Location407 Pediatrics LLC161 Webb Dr, Ste 300, Davenport, FL 33837
CLIA data matches this NPI record on: Address Name Phone
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.

DANIELLE HERNANDEZ M.D.
Pediatrics
161 WEBB DR STE 300
DAVENPORT, FL 33837
Polk County (407) 891-4040

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 407 Pediatrics LLC's NPI number?

The NPI number for 407 Pediatrics LLC is 1184504102. It was assigned to this organization in the NPPES registry on September 3, 2025.

Where is 407 Pediatrics LLC located?

407 Pediatrics LLC is located at 161 Webb Dr Ste 300, Davenport, FL 33837. The listed phone number is (407) 873-5979.

What is 407 Pediatrics LLC's specialty?

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

Does 407 Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2331582) is associated with this NPI, valid through October 5, 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 407 Pediatrics LLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.