TAVARES PEDIATRICS INC
NPI 1629641923
Clinic/Center - Primary Care in Tavares, FL

Active since July 23, 2021CLIA 10D2005200 · Waiver
2754 DORA AVE, TAVARES, FL 32778(352) 508-5176 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2023, Jul 23, 2021 (2 updates tracked since 2021).

About Tavares Pediatrics Inc NPPES

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

TAVARES PEDIATRICS INC (NPI 1629641923) is a healthcare organization registered as a primary care in Tavares, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Mohammad Afzal, Owner, as its authorized official.

NPPES Registry Identity

NPI1629641923
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTAVARES PEDIATRICS INC
Location Address2754 DORA AVETavares, FL 32778-4970
Mailing Address2754 Dora AveTavares, FL 32778-4970
Organization SubpartNo
Authorized OfficialMohammad AfzalOwner · (352) 394-3929
Enumeration DateJuly 23, 2021
Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
NPI 1629641923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2754 DORA AVE, Tavares, FL 32778

Other Identifiers 1

Medicaid004771001FL

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 10D2005200

Tavares Pediatrics · Tavares, FL
Active · expires Mar 22, 2028
CLIA Number10D2005200
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorMohammad Afzal
Laboratory Phone(352) 508-5176
Laboratory LocationTavares Pediatrics2754 Dora Ave, Tavares, FL 32778
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 3

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

Nurse Practitioner (Family)
2754 DORA AVE
TAVARES, FL 32778
Dentist (General Practice)
2754 DORA AVE
TAVARES, FL 32778
Clinic/Center (Rural Health)
2754 DORA AVE
TAVARES, FL 32778

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 Tavares Pediatrics Inc's NPI number?

The NPI number for Tavares Pediatrics Inc is 1629641923. It was assigned to this organization in the NPPES registry on July 23, 2021.

Where is Tavares Pediatrics Inc located?

Tavares Pediatrics Inc is located at 2754 Dora Ave, Tavares, FL 32778. The listed phone number is (352) 508-5176.

What is Tavares Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Tavares Pediatrics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2005200) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tavares Pediatrics Inc was last updated on December 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.