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NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, SPECIALTY CARE
NPI 1205404761
Clinic/Center - Multi-Specialty in Orlando, FL

Active since June 11, 2021CLIA 10D1011597 · Waiver
651 N ALAFAYA TRL, ORLANDO, FL 32828(407) 650-7715 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2021, Jun 11, 2021 (2 updates tracked since 2021).

About Nemours Children's Health, Waterford Lakes, Specialty Care NPPES

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

NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, SPECIALTY CARE (NPI 1205404761) is a healthcare organization registered as a multi-specialty in Orlando, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Rodney Aaron Mckendree, Vp, Finance, as its authorized official.

NPPES Registry Identity

NPI1205404761
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, SPECIALTY CARE
Location Address651 N ALAFAYA TRLOrlando, FL 32828-7045
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532
Phone(407) 650-7715
Organization SubpartYesParent: The Nemours Foundation
Authorized OfficialRodney Aaron MckendreeVp, Finance · (904) 697-5648
Enumeration DateJune 11, 2021
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1205404761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
651 N ALAFAYA TRL, Orlando, FL 32828
Open in Google Maps ↗

Other Names 1

Doing Business AsNemours Children's Health, Waterford Lakes, Specialty Care

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 10D1011597

Nemours Children's Health · Orlando, FL
Active · expires Jul 17, 2027
CLIA Number10D1011597
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorMorgan Setteducato
Laboratory Phone(407) 273-4132
Laboratory LocationNemours Children's Health651 N Alafaya Trl, Orlando, FL 32828
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 6

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

TANSYLA KEELS NICHOLSON MD
Pediatrics
651 N ALAFAYA TRL
ORLANDO, FL 32828
Orange County (407) 273-4132
DR. HERA YVONNE NAHAR MD
Pediatrics
651 N ALAFAYA TRL, NEMOURS CHILDRENS URGENT CARE
ORLANDO, FL 32828
Orange County (407) 273-4132
DR. THOMAS B RUFFIN JR. M.D.
Pediatrics
651 N ALAFAYA TRL
ORLANDO, FL 32828
Orange County (407) 273-4132
LARISSA MOON APRN
Nurse Practitioner (Pediatrics)
651 N ALAFAYA TRL
ORLANDO, FL 32828
Orange County (407) 273-4132
NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, URGENT CARE
Clinic/Center (Multi-Specialty)
651 N ALAFAYA TRL
ORLANDO, FL 32828
Orange County (407) 650-7715
DR. MONICA R. BARAJAS M.D.
Pediatrics
651 N ALAFAYA TRL
ORLANDO, FL 32828
Orange County (407) 273-4132

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, Waterford Lakes, Specialty Care's NPI number?

The NPI number for Nemours Children's Health, Waterford Lakes, Specialty Care is 1205404761. It was assigned to this organization in the NPPES registry on June 11, 2021.

Where is Nemours Children's Health, Waterford Lakes, Specialty Care located?

Nemours Children's Health, Waterford Lakes, Specialty Care is located at 651 N Alafaya Trl, Orlando, FL 32828. The listed phone number is (407) 650-7715.

What is Nemours Children's Health, Waterford Lakes, Specialty Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Nemours Children's Health, Waterford Lakes, Specialty Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1011597) is associated with this NPI, valid through July 17, 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, Waterford Lakes, Specialty 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.