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FLORIDA PEDIATRIC GROUP PA
NPI 1396962734
Pediatrics in W Melbourne, FL

Active since April 19, 2007CLIA 10D2053151 · Certificate of Compliance
250 S WICKHAM RD, W MELBOURNE, FL 32904(321) 752-5210(321) 752-5388 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Florida Pediatric Group Pa NPPES

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

FLORIDA PEDIATRIC GROUP PA (NPI 1396962734) is a healthcare organization registered as a pediatrics in W Melbourne, Florida and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 16, 2026 and lists Dee Dee Schultz, Billing Department, as its authorized official.

NPPES Registry Identity

NPI1396962734
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFLORIDA PEDIATRIC GROUP PA
Location Address250 S WICKHAM RDW Melbourne, FL 32904-1134
Mailing Address250 S Wickham RdW Melbourne, FL 32904-1134 · (321) 752-5210 · Fax (321) 752-5388
Phone(321) 752-5210
Fax(321) 752-5388
Organization SubpartNo
Authorized OfficialDee Dee SchultzBilling Department · (321) 752-5210
Enumeration DateApril 19, 2007
Last NPPES UpdateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1396962734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME81059
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.
250 S WICKHAM RD, W Melbourne, FL 32904
Open in Google Maps ↗

Other Identifiers 1

Medicaid259807800FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 10D2053151

Florida Pediatric Group · Melbourne, FL
Active · expires Sep 16, 2026
CLIA Number10D2053151
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorMaged D. Farid
Laboratory Phone(321) 752-5210
Laboratory LocationFlorida Pediatric Group25 E Silver Palm Ave, Melbourne, FL 32901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D1032296

Florida Pediatric Group PA · West Melbourne, FL
Expired · Jun 30, 2026
CLIA Number10D1032296
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2024
Certificate Expiration DateJune 30, 2026
Laboratory DirectorMaged Farid
Laboratory Phone(321) 752-5210
Laboratory LocationFlorida Pediatric Group PA250 S Wickham Rd, West Melbourne, FL 32904
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

KIARA HODGE APRN, FNP-BC
Nurse Practitioner (Family)
250 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 752-5210
KYLA BRABHAM NP
Nurse Practitioner (Pediatrics)
250 S WICKHAM RD
MELBOURNE, FL 32904
Brevard County (321) 752-5210
MOUNA ABZEKKA
Physician Assistant
250 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 752-5210
MRS. ROBIN MARIE DEFRANCESCO APRN
Nurse Practitioner (Family)
250 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 752-5210
MRS. JULIE JOHNSON APRN, RN, BSN
Nurse Practitioner (Pediatrics)
250 S WICKHAM RD
MELBOURNE, FL 32904
Brevard County (321) 752-5210
FLORIDA PEDIATRIC GROUP PA
Pediatrics
250 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 752-5210
MICHELLE STERLING
Nurse Practitioner (Pediatrics)
250 S WICKHAM RD
MELBOURNE, FL 32904
Brevard County (217) 525-2103
DR. MAGED DOSS FARID MD
Pediatrics
250 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 752-5210

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 Florida Pediatric Group PA's NPI number?

The NPI number for Florida Pediatric Group PA is 1396962734. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Florida Pediatric Group PA located?

Florida Pediatric Group PA is located at 250 S Wickham Rd, W Melbourne, FL 32904. The listed phone number is (321) 752-5210.

What is Florida Pediatric Group PA's specialty?

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

Does Florida Pediatric Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2053151) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Pediatric Group PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Florida Pediatric Group PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Pediatric Group PA was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.