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DAVENPORT PEDIATRICS CLERMONT, P.A.
NPI 1700021508
Pediatrics - Adolescent Medicine in Clermont, FL

Active since December 08, 2008CLIA 10D1096774 · Waiver
1528 SUNRISE PLAZA DR STE 1, CLERMONT, FL 34714(352) 394-7728(352) 394-6369 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Davenport Pediatrics Clermont, P.a. NPPES

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

DAVENPORT PEDIATRICS CLERMONT, P.A. (NPI 1700021508) is a healthcare organization registered as an adolescent medicine in Clermont, Florida and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Jamil H Khan, Physician, as its authorized official.

NPPES Registry Identity

NPI1700021508
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameDAVENPORT PEDIATRICS CLERMONT, P.A.
Location Address1528 SUNRISE PLAZA DR STE 1Clermont, FL 34714-6203
Mailing Address1528 Sunrise Plaza Dr Ste 1Clermont, FL 34714-6203 · (352) 394-7728 · Fax (352) 394-6369
Phone(352) 394-7728
Fax(352) 394-6369
Organization SubpartNo
Authorized OfficialJamil H KhanPhysician · (352) 394-7728
Enumeration DateDecember 8, 2008
Last NPPES UpdateJuly 18, 2011
✔ NPI 1700021508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1528 SUNRISE PLAZA DR STE 1, Clermont, FL 34714
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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 10D1096774

Davenport Pediatarics Clermont PA · Clermont, FL
Active · expires Mar 10, 2027
CLIA Number10D1096774
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorJamil H. Khan
Laboratory Phone(352) 394-7728
Laboratory LocationDavenport Pediatarics Clermont PA1528 Sunrise Plaza Dr Ste 1, Clermont, FL 34714
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Davenport Pediatrics Clermont, P.A.'s NPI number?

The NPI number for Davenport Pediatrics Clermont, P.A. is 1700021508. It was assigned to this organization in the NPPES registry on December 8, 2008.

Where is Davenport Pediatrics Clermont, P.A. located?

Davenport Pediatrics Clermont, P.A. is located at 1528 Sunrise Plaza Dr Ste 1, Clermont, FL 34714. The listed phone number is (352) 394-7728.

What is Davenport Pediatrics Clermont, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Davenport Pediatrics Clermont, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1096774) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Davenport Pediatrics Clermont, P.A. accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and Wellpoint list Davenport Pediatrics Clermont, P.A. 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 Davenport Pediatrics Clermont, P.A. was last updated on July 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.