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PERSONALIZED PEDIATRICS LLC
NPI 1215329313
Pediatrics in Coral Springs, FL

Active since February 26, 2015CLIA 10D2186725 · Waiver
12621 NW 8TH CT, CORAL SPRINGS, FL 33071(954) 632-2791(954) 752-7845 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Personalized Pediatrics Llc NPPES

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

PERSONALIZED PEDIATRICS LLC (NPI 1215329313) is a healthcare organization registered as a pediatrics in Coral Springs, Florida and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Edna L Tello, Owner/founder, as its authorized official.

NPPES Registry Identity

NPI1215329313
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePERSONALIZED PEDIATRICS LLC
Location Address12621 NW 8TH CTCoral Springs, FL 33071-4425
Mailing Address1440 Coral Ridge Dr # 121Coral Springs, FL 33071-5433 · (954) 632-2791 · Fax (954) 752-7845
Phone(954) 632-2791
Fax(954) 752-7845
Organization SubpartNo
Authorized OfficialEdna L TelloOwner/founder · (954) 632-2791
Enumeration DateFebruary 26, 2015
✔ NPI 1215329313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME80694
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.
12621 NW 8TH CT, Coral Springs, FL 33071
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Other Identifiers 1

Medicaid2606259FL

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 10D2186725

Personalized Pediatrics LLC · Coral Springs, FL
Active · expires Jun 21, 2028
CLIA Number10D2186725
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorEdna L. Tello
Laboratory Phone(954) 543-1760
Laboratory LocationPersonalized Pediatrics LLC12621 NW 8th Court, Coral Springs, FL 33071
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

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

DR. EDNA LILLIAN TELLO M.D.
Pediatrics
12621 NW 8TH CT
CORAL SPRINGS, FL 33071
Broward County (954) 632-2791

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 Personalized Pediatrics LLC's NPI number?

The NPI number for Personalized Pediatrics LLC is 1215329313. It was assigned to this organization in the NPPES registry on February 26, 2015.

Where is Personalized Pediatrics LLC located?

Personalized Pediatrics LLC is located at 12621 NW 8th Ct, Coral Springs, FL 33071. The listed phone number is (954) 632-2791.

What is Personalized Pediatrics LLC's specialty?

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

Does Personalized Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2186725) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Personalized Pediatrics LLC was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.