PORT ORANGE PEDIATRICS P A
NPI 1902084064
Pediatrics in Port Orange, FL
About Port Orange Pediatrics P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORT ORANGE PEDIATRICS P A (NPI 1902084064) is a healthcare organization registered as a pediatrics in Port Orange, Florida and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Ruben J Lopez, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Group Practice 1
Accepted 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 10D1055613
Port Orange Pediatrics PA · Port Orange, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Port Orange Pediatrics P A's NPI number?
The NPI number for Port Orange Pediatrics P A is 1902084064. It was assigned to this organization in the NPPES registry on January 31, 2008.
Where is Port Orange Pediatrics P A located?
Port Orange Pediatrics P A is located at 1720 Dunlawton Ave Suite 1, Port Orange, FL 32127. The listed phone number is (386) 322-5390.
What is Port Orange Pediatrics P A's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Does Port Orange Pediatrics P A hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1055613) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Port Orange Pediatrics P A accept?
Health plans from AvMed list Port Orange Pediatrics 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 Port Orange Pediatrics P A was last updated on January 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
