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KIDSVILLE PEDIATRICS IV, P.A.
NPI 1508955212
Pediatrics in Orlando, FL

Active since October 12, 2006CLIA 10D1058612 · Waiver
11886 LAKE UNDERHILL RD, ORLANDO, FL 32825(407) 447-7773(407) 447-7804 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kidsville Pediatrics Iv, P.a. NPPES

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

KIDSVILLE PEDIATRICS IV, P.A. (NPI 1508955212) is a healthcare organization registered as a pediatrics in Orlando, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 10, 2026, maintains 2 additional practice locations, and lists Francelis I. Gonzalez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508955212
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDSVILLE PEDIATRICS IV, P.A.
Location Address11886 LAKE UNDERHILL RDOrlando, FL 32825-4436
Mailing Address11886 Lake Underhill RdOrlando, FL 32825-4436 · (407) 447-7773 · Fax (407) 447-7804
Phone(407) 447-7773
Fax(407) 447-7804
Organization SubpartNo
Authorized OfficialFrancelis I. GonzalezCeo · (407) 447-7773
Enumeration DateOctober 12, 2006
Last NPPES UpdateAugust 13, 2019
✔ NPI 1508955212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME-0074421
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.
11886 LAKE UNDERHILL RD, Orlando, FL 32825
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Secondary Practice Locations 2

Location 111886 Lake Underhill RdOrlando, FL 32825-4436 · Phone (407) 447-7773 · Fax (407) 447-7804
Location 212315 Lake Underhill Rd, Suite-BOrlando, FL 32828-4507 · Phone (407) 447-7773

Other Identifiers 1

Medicaid274349300FL

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare 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 10D1058612

Kidsville Pediatrics IV PA · Orlando, FL
Active · expires Sep 10, 2026
CLIA Number10D1058612
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorFrancelis I. Gonzalez
Laboratory Phone(407) 447-7773
Laboratory LocationKidsville Pediatrics IV PA11886 Lake Underhill Dr, Orlando, FL 32825
CLIA data matches this NPI record on: Name 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.

ANA C SOUTO NP
Nurse Practitioner (Pediatrics)
11886 LAKE UNDERHILL RD
ORLANDO, FL 32825
Orange County (407) 447-7773
CRISTINA ARROYO ARNP
Nurse Practitioner (Family)
11886 LAKE UNDERHILL RD
ORLANDO, FL 32825
Orange County (407) 447-7773
CINTLI AMERICA JAUREGUI MSN, ARNP, FNP-C
Nurse Practitioner (Family)
11886 LAKE UNDERHILL RD
ORLANDO, FL 32825
Orange County (407) 447-7773
JENNIFER GOMEZ
Nurse Practitioner (Family)
11886 LAKE UNDERHILL RD
ORLANDO, FL 32825
Orange County (407) 447-7773
KIDSVILLE PEDIATRICS VI, PA AFTER HOURS CLINIC
Pediatrics
11886 LAKE UNDERHILL RD
ORLANDO, FL 32825
Orange County (407) 447-7773

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 Kidsville Pediatrics IV, P.A.'s NPI number?

The NPI number for Kidsville Pediatrics IV, P.A. is 1508955212. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Kidsville Pediatrics IV, P.A. located?

Kidsville Pediatrics IV, P.A. is located at 11886 Lake Underhill Rd, Orlando, FL 32825. The listed phone number is (407) 447-7773.

What is Kidsville Pediatrics IV, P.A.'s specialty?

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

Does Kidsville Pediatrics IV, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1058612) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidsville Pediatrics IV, P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Kidsville Pediatrics IV, P.A. 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 Kidsville Pediatrics IV, P.A. was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.