NEMOURS CHILDREN'S HEALTH, MAITLAND, PRIMARY CARE
NPI 1639748809
Pediatrics in Maitland, FL

Q: What is Nemours Children's Health, Maitland, Primary Care's specialty?

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

Active since June 22, 2021CLIA 10D2085815 · Waiver

100 E SYBELIA AVE STE 100, MAITLAND, FL 32751(407) 127-9700 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nemours Children's Health, Maitland, Primary Care NPPES

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

NEMOURS CHILDREN'S HEALTH, MAITLAND, PRIMARY CARE (NPI 1639748809) is a healthcare organization registered as a pediatrics in Maitland, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Robert Bridges, Evp, Operations, as its authorized official.

NPPES Registry Identity

NPI1639748809

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameNEMOURS CHILDREN'S HEALTH, MAITLAND, PRIMARY CARE

Location Address100 E SYBELIA AVE STE 100Maitland, FL 32751-4748

Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532

Phone(407) 127-9700

Organization SubpartYesParent: Children's Health Alliance, Llc

Authorized OfficialRobert BridgesEvp, Operations · (904) 697-4000

Enumeration DateJune 22, 2021

NPPES CertifiedJune 22, 2021

✔ NPI 1639748809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

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.

100 E SYBELIA AVE STE 100, Maitland, FL 32751

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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).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 10D2085815

Nemours Children's Health · Maitland, FL

Active · expires Oct 22, 2026

CLIA Number10D2085815

Laboratory TypePhysician Office

Certificate Effective DateOctober 23, 2024

Certificate Expiration DateOctober 22, 2026

Laboratory DirectorMichelle Kushnir

Laboratory Phone(407) 636-6520

Laboratory LocationNemours Children's Health100 E Sybelia Ave Ste 100, Maitland, FL 32751

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 2

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

MS. MICHELE ROMAN MUSKUS ARNP

Nurse Practitioner

100 E SYBELIA AVE STE 100, NEMOURS CHILDRENS PRIMARY CARE
MAITLAND, FL 32751

Orange County (407) 636-6520

DR. MICHELLE LECHER KUSHNIR M.D.

General Practice

100 E SYBELIA AVE STE 100
MAITLAND, FL 32751

Orange County (407) 636-6520

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 Nemours Children's Health, Maitland, Primary Care's NPI number?

The NPI number for Nemours Children's Health, Maitland, Primary Care is 1639748809. It was assigned to this organization in the NPPES registry on June 22, 2021.

Where is Nemours Children's Health, Maitland, Primary Care located?

Nemours Children's Health, Maitland, Primary Care is located at 100 E Sybelia Ave Ste 100, Maitland, FL 32751. The listed phone number is (407) 127-9700.

What is Nemours Children's Health, Maitland, Primary Care's specialty?

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

Does Nemours Children's Health, Maitland, Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2085815) is associated with this NPI, valid through October 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nemours Children's Health, Maitland, Primary Care accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Nemours Children's Health, Maitland, Primary Care 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 Nemours Children's Health, Maitland, Primary Care was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.