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KIDSVILLE PEDIATRICS VII, P.A. AFTER HOURS WALK-IN CLINIC
NPI 1538453428
Pediatrics in Davenport, FL

Active since June 08, 2011CLIA 10D0958171 · Waiver
2201 NORTH BLVD W, DAVENPORT, FL 33837(863) 419-0688(863) 419-9547 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 Vii, P.a. After Hours Walk-in Clinic NPPES

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

KIDSVILLE PEDIATRICS VII, P.A. AFTER HOURS WALK-IN CLINIC (NPI 1538453428) is a healthcare organization registered as a pediatrics in Davenport, Florida and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through March 11, 2027, maintains a secondary practice location in Davenport, and lists Victor Manuel Pantoja, Cfo/coo, as its authorized official.

NPPES Registry Identity

NPI1538453428
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDSVILLE PEDIATRICS VII, P.A. AFTER HOURS WALK-IN CLINIC
Location Address2201 NORTH BLVD WDavenport, FL 33837-8990
Mailing Address2201 North Blvd WDavenport, FL 33837-8990 · (863) 419-0688 · Fax (863) 419-9547
Phone(863) 419-0688
Fax(863) 419-9547
Organization SubpartNo
Authorized OfficialVictor Manuel PantojaCfo/coo · (863) 419-0688
Enumeration DateJune 8, 2011
Last NPPES UpdateAugust 13, 2019
✔ NPI 1538453428 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.
2201 NORTH BLVD W, Davenport, FL 33837
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Secondary Practice Location 1

Location 12201 North Blvd WDavenport, FL 33837-8990 · Phone (407) 970-2981 · Fax (407) 876-7423

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.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 10D0958171

Kidsville Pediatrics · Davenport, FL
Active · expires Mar 11, 2027
CLIA Number10D0958171
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorFrancelis I. Gonzalez
Laboratory Phone(863) 419-0688
Laboratory LocationKidsville Pediatrics2201 North Blvd West, Davenport, FL 33837
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

EILEEN J RUIZ ARNP
Nurse Practitioner (Primary Care)
2201 NORTH BLVD W
DAVENPORT, FL 33837
Polk County (863) 419-0688
FAMILY TREE MEDICAL GROUP II, PA
General Practice
2201 NORTH BLVD W
DAVENPORT, FL 33837
Polk County (863) 353-1246
KIDSVILLE PEDIATRICS I, P.A.
General Practice
2201 NORTH BLVD W
DAVENPORT, FL 33837
Polk County (863) 419-0688
ANTONIO QUINONES APRN
Nurse Practitioner (Family)
2201 NORTH BLVD W
DAVENPORT, FL 33837
Polk County (863) 419-0688

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 Vii, P.A. After Hours Walk-In Clinic's NPI number?

The NPI number for Kidsville Pediatrics Vii, P.A. After Hours Walk-In Clinic is 1538453428. It was assigned to this organization in the NPPES registry on June 8, 2011.

Where is Kidsville Pediatrics Vii, P.A. After Hours Walk-In Clinic located?

Kidsville Pediatrics Vii, P.A. After Hours Walk-In Clinic is located at 2201 North Blvd W, Davenport, FL 33837. The listed phone number is (863) 419-0688.

What is Kidsville Pediatrics Vii, P.A. After Hours Walk-In Clinic's specialty?

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

Does Kidsville Pediatrics Vii, P.A. After Hours Walk-In Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0958171) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidsville Pediatrics Vii, P.A. After Hours Walk-In Clinic accept?

Health plans from Wellpoint list Kidsville Pediatrics Vii, P.A. After Hours Walk-In Clinic 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 Vii, P.A. After Hours Walk-In Clinic 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.