MANOR PLAZA PEDIATRIC & GENERAL MEDICINE INC.
NPI 1558657130
Pediatrics in Fort Lauderdale, FL

Q: What is Manor Plaza Pediatric & General Medicine Inc.'s specialty?

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

Active since June 22, 2011

1234 NE 4TH AVE SUITE A, FORT LAUDERDALE, FL 33304(954) 779-1667(954) 760-7253 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 6, 2026, Feb 5, 2026 (2 updates tracked since 2026).

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About Manor Plaza Pediatric & General Medicine Inc. NPPES

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

MANOR PLAZA PEDIATRIC & GENERAL MEDICINE INC. (NPI 1558657130), doing business as Manor Plaza Pediatric And General Medicine, is a healthcare organization registered as a pediatrics in Fort Lauderdale, Florida and active in the NPI registry since June 2011. The organization lists Helena M Gaviria, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1558657130

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMANOR PLAZA PEDIATRIC & GENERAL MEDICINE INC.

Location Address1234 NE 4TH AVE SUITE AFort Lauderdale, FL 33304-1925

Mailing Address1234 Ne 4th Ave Ste AFort Lauderdale, FL 33304-1977 · (954) 779-1667 · Fax (954) 760-7253

Phone(954) 779-1667

Fax(954) 760-7253

Organization SubpartNo

Authorized OfficialHelena M GaviriaMedical Director · (954) 779-1667

Enumeration DateJune 22, 2011

Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1558657130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME0042195

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License ME0042195 (FL)

1234 NE 4TH AVE SUITE A, Fort Lauderdale, FL 33304

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Other Names 2

Doing Business AsManor Plaza Pediatric And General Medicine

Doing Business AsMinor Plaza Pediatric And General Medicine

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

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 Manor Plaza Pediatric & General Medicine Inc.'s NPI number?

The NPI number for Manor Plaza Pediatric & General Medicine Inc. is 1558657130. It was assigned to this organization in the NPPES registry on June 22, 2011. The provider is doing business as Manor Plaza Pediatric And General Medicine and Minor Plaza Pediatric And General Medicine.

Where is Manor Plaza Pediatric & General Medicine Inc. located?

Manor Plaza Pediatric & General Medicine Inc. is located at 1234 NE 4th Ave Suite A, Fort Lauderdale, FL 33304. The listed phone number is (954) 779-1667.

What is Manor Plaza Pediatric & General Medicine Inc.'s specialty?

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

What insurance does Manor Plaza Pediatric & General Medicine Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Manor Plaza Pediatric & General Medicine Inc. 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 Manor Plaza Pediatric & General Medicine Inc. was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.