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TAVARES PEDIATRICS INC
NPI 1679854343
Clinic/Center - Rural Health in Tavares, FL

Active since September 07, 2011CLIA 10D2005200 · Waiver
2754 DORA AVE, TAVARES, FL 32778(352) 394-3929(352) 394-6446 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2023, Jun 22, 2016 (2 updates tracked since 2016).

About Tavares Pediatrics Inc NPPES

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

TAVARES PEDIATRICS INC (NPI 1679854343) is a healthcare organization registered as a rural health in Tavares, Florida and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Mohammad Afzal, Md, as its authorized official.

NPPES Registry Identity

NPI1679854343
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTAVARES PEDIATRICS INC
Location Address2754 DORA AVETavares, FL 32778-4970
Mailing Address2754 Dora AveTavares, FL 32778-4970 · (352) 508-5176 · Fax (352) 508-5179
Phone(352) 394-3929
Fax(352) 394-6446
Organization SubpartNo
Authorized OfficialMohammad AfzalMd · (352) 394-3929
Enumeration DateSeptember 7, 2011
Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1679854343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in FL · ME72542
2754 DORA AVE, Tavares, FL 32778
Open in Google Maps ↗

Other Identifiers 1

Medicaid004771000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, 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 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.

DANIELA DONARD
Nurse Practitioner (Family)
2754 DORA AVE
TAVARES, FL 32778
Lake County (352) 508-5176
DR. LEONARD S KAPLAN DDS
Dentist (General Practice)
2754 DORA AVE
TAVARES, FL 32778
Lake County (352) 742-0484
TAVARES PEDIATRICS INC
Clinic/Center (Primary Care)
2754 DORA AVE
TAVARES, FL 32778
Lake County (352) 508-5176

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 1679854343. It was assigned to this organization in the NPPES registry on September 7, 2011.

Where is Tavares Pediatrics Inc located?

Tavares Pediatrics Inc is located at 2754 Dora Ave, Tavares, FL 32778. The listed phone number is (352) 394-3929.

What is Tavares Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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.

What insurance does Tavares Pediatrics Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama and Wellpoint list Tavares Pediatrics 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 Tavares Pediatrics Inc was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.