CHILDREN'S SPECIALIST PEDIATRIC PULMONOLOGY OF FLORIDA LLC
NPI 1497944193
Specialist in Fort Myers, FL

Q: What is Children's Specialist Pediatric Pulmonology Of Florida LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 18, 2007CLIA 10D1103955 · Waiver

12748 UNIVERSITY DR, FORT MYERS, FL 33907(239) 464-8089(239) 437-5507 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Children's Specialist Pediatric Pulmonology Of Florida Llc NPPES

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

CHILDREN'S SPECIALIST PEDIATRIC PULMONOLOGY OF FLORIDA LLC (NPI 1497944193) is a healthcare organization registered as a specialist in Fort Myers, Florida and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Kathleen Wegelin, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1497944193

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCHILDREN'S SPECIALIST PEDIATRIC PULMONOLOGY OF FLORIDA LLC

Location Address12748 UNIVERSITY DRFort Myers, FL 33907-5634

Mailing Address12748 University DrFort Myers, FL 33907-5634 · (239) 437-5500 · Fax (239) 437-5507

Phone(239) 464-8089

Fax(239) 437-5507

Organization SubpartNo

Authorized OfficialKathleen WegelinOffice Administrator · (239) 437-5500

Enumeration DateOctober 18, 2007

Last NPPES UpdateApril 17, 2023

NPPES CertifiedApril 17, 2023

✔ NPI 1497944193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME0091014

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

12748 UNIVERSITY DR, Fort Myers, FL 33907

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

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 10D1103955

Childrens Specialist Pediatric Pulmmology & Sleep Medicine · Fort Myers, FL

Active · expires Aug 20, 2027

CLIA Number10D1103955

Laboratory TypePhysician Office

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorJessica Finchman

Laboratory Phone(239) 437-5500

Laboratory LocationChildrens Specialist Pediatric Pulmmology & Sleep Medicine12748 University Dr, Fort Myers, FL 33907

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MR. OSCAR ALEJANDRO ALEA MD

Pediatrics (Pediatric Pulmonology)