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VR PEDIATRICS
NPI 1265869705
Pediatrics in Ormond Beach, FL

Active since September 30, 2013CLIA 10D2041469 · Waiver
345 CLYDE MORRIS BLVD STE 360, ORMOND BEACH, FL 32174(386) 873-4740(386) 873-4742 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vr Pediatrics NPPES

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

VR PEDIATRICS (NPI 1265869705) is a healthcare organization registered as a pediatrics in Ormond Beach, Florida and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Staci G Lewis, Biller, as its authorized official.

NPPES Registry Identity

NPI1265869705
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVIRGINIO RODRIGUEZ III
Location Address345 CLYDE MORRIS BLVD STE 360Ormond Beach, FL 32174-3114
Mailing Address345 Clyde Morris Blvd Ste 360Ormond Beach, FL 32174-3114 · (386) 873-4740 · Fax (386) 873-4742
Phone(386) 873-4740
Fax(386) 873-4742
Organization SubpartNo
Authorized OfficialStaci G LewisBiller · (386) 873-4740
Enumeration DateSeptember 30, 2013
✔ NPI 1265869705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME56648
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.
345 CLYDE MORRIS BLVD STE 360, Ormond Beach, FL 32174
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Other Names 1

Doing Business AsVr Pediatrics

Other Identifiers 2

Medicaid256164600FL
Medicaid256164601FL

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 10D2041469

Vr Pediatrics · Ormond Beach, FL
Active · expires May 22, 2028
CLIA Number10D2041469
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorVirginio Rodriquez III
Laboratory Phone(386) 677-8880
Laboratory LocationVr Pediatrics345 Clyde Morris Blvd Ste 360, Ormond Beach, FL 32174
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Virginio Rodriguez III's NPI number?

The NPI number for Virginio Rodriguez III is 1265869705. It was assigned to this organization in the NPPES registry on September 30, 2013. The provider is doing business as Vr Pediatrics.

Where is Virginio Rodriguez III located?

Virginio Rodriguez III is located at 345 Clyde Morris Blvd Ste 360, Ormond Beach, FL 32174. The listed phone number is (386) 873-4740.

What is Virginio Rodriguez III's specialty?

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

Does Virginio Rodriguez III hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2041469) is associated with this NPI, valid through May 22, 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 Virginio Rodriguez III was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.