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FOUR CORNERS PEDIATRICS
NPI 1801900451
Pediatrics in Davenport, FL

Active since August 19, 2006
2506 SAND MINE RD, DAVENPORT, FL 33897(863) 424-8966(863) 424-8825 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Four Corners Pediatrics NPPES

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

FOUR CORNERS PEDIATRICS (NPI 1801900451) is a healthcare organization registered as a pediatrics in Davenport, Florida and active in the NPI registry since August 2006. The organization lists Daniel Robert Renuart, President, as its authorized official.

NPPES Registry Identity

NPI1801900451
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDANIEL R. RENUART, MD, PA
Location Address2506 SAND MINE RDDavenport, FL 33897-3402
Mailing Address2506 Sand Mine RdDavenport, FL 33897-3402 · (863) 424-8966 · Fax (863) 424-8825
Phone(863) 424-8966
Fax(863) 424-8825
Organization SubpartNo
Authorized OfficialDaniel Robert RenuartPresident · (863) 424-8966
Enumeration DateAugust 19, 2006
Last NPPES UpdateOctober 19, 2011
✔ NPI 1801900451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME70353
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.
2506 SAND MINE RD, Davenport, FL 33897
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Other Names 1

Doing Business AsFour Corners Pediatrics

Other Identifiers 1

Medicaid272383201FL

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

Other Providers at the Same Location NPPES 4

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

MARK GRIFFO M.D.
Obstetrics & Gynecology (Gynecology)
2506 SAND MINE RD
DAVENPORT, FL 33897
Polk County (863) 424-4321
DANA GANT
Nurse Practitioner (Pediatrics)
2506 SAND MINE RD
DAVENPORT, FL 33897
Polk County (863) 232-5527
PEDIATRIC CARE OF FOUR CORNERS PLLC
Pediatrics
2506 SAND MINE RD
DAVENPORT, FL 33897
Polk County (863) 232-5527
TRUDI GRIFFO M.D.
Obstetrics & Gynecology (Gynecology)
2506 SAND MINE RD
DAVENPORT, FL 33897
Polk County (863) 424-4321

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 Daniel R. Renuart, MD, PA's NPI number?

The NPI number for Daniel R. Renuart, MD, PA is 1801900451. It was assigned to this organization in the NPPES registry on August 19, 2006. The provider is doing business as Four Corners Pediatrics.

Where is Daniel R. Renuart, MD, PA located?

Daniel R. Renuart, MD, PA is located at 2506 Sand Mine Rd, Davenport, FL 33897. The listed phone number is (863) 424-8966.

What is Daniel R. Renuart, MD, PA's specialty?

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

What insurance does Daniel R. Renuart, MD, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Daniel R. Renuart, MD, PA 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 Daniel R. Renuart, MD, PA was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.