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ATHLETAMD LLC
NPI 1861078032
Pediatrics in Coral Springs, FL

Active since March 19, 2021
12621 NW 8TH COURT, CORAL SPRINGS, FL 33071(954) 543-1760(954) 752-7845 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Athletamd Llc NPPES

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

ATHLETAMD LLC (NPI 1861078032) is a healthcare organization registered as a pediatrics in Coral Springs, Florida and active in the NPI registry since March 2021. The organization lists Edna Lillian Tello, Md / Owner, as its authorized official.

NPPES Registry Identity

NPI1861078032
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameATHLETAMD LLC
Location Address12621 NW 8TH COURTCoral Springs, FL 33071
Mailing Address1440 Coral Ridge Dr, #121Coral Springs, FL 33071 · (954) 543-1760 · Fax (954) 752-7845
Phone(954) 543-1760
Fax(954) 752-7845
Organization SubpartNo
Authorized OfficialEdna Lillian TelloMd / Owner · (954) 632-2791
Enumeration DateMarch 19, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1861078032 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.
12621 NW 8TH COURT, Coral Springs, FL 33071
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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

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 Athletamd LLC's NPI number?

The NPI number for Athletamd LLC is 1861078032. It was assigned to this organization in the NPPES registry on March 19, 2021.

Where is Athletamd LLC located?

Athletamd LLC is located at 12621 NW 8th Court, Coral Springs, FL 33071. The listed phone number is (954) 543-1760.

What is Athletamd LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Athletamd LLC was last updated on March 19, 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.