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RDV SPORTSPLEX PEDIATRICS
NPI 1972679223
Pediatrics - Adolescent Medicine in Orlando, FL

Active since November 28, 2006CLIA 10D0950873 · Waiver
8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810(407) 916-4522(407) 916-4525 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rdv Sportsplex Pediatrics NPPES

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

RDV SPORTSPLEX PEDIATRICS (NPI 1972679223) is a healthcare organization registered as an adolescent medicine in Orlando, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Alberto Cobian, Vice President, as its authorized official.

NPPES Registry Identity

NPI1972679223
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePRO STAR PEDIATRICS
Location Address8701 MAITLAND SUMMIT BLVDOrlando, FL 32810-5915
Mailing Address8701 Maitland Summit BlvdOrlando, FL 32810-5915 · (407) 916-4522 · Fax (407) 916-4525
Phone(407) 916-4522
Fax(407) 916-4525
Organization SubpartNo
Authorized OfficialAlberto CobianVice President · (407) 916-4522
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 20, 2014
✔ NPI 1972679223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in FL · ME0036554
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.
8701 MAITLAND SUMMIT BLVD, Orlando, FL 32810
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Other Names 1

Other NameRdv Sportsplex Pediatrics

Other Identifiers 4

Medicaid003657000FL
Medicaid041847101FL
Medicaid269488300FL
Medicare UPIND55150FL

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 ›

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 10D0950873

Rdv Sportsplex Pediatrics · Orlando, FL
Active · expires Sep 8, 2026
CLIA Number10D0950873
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorLaritssa P. Cobian
Laboratory Phone(407) 916-4520
Laboratory LocationRdv Sportsplex Pediatrics8701 Maitland Summit Blvd, Orlando, FL 32810
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

BROSTER JD LLC
Ophthalmology
8701 MAITLAND SUMMIT BLVD
ORLANDO, FL 32810
Orange County (407) 385-1620
MEGAN KINSLEY
Behavior Technician
8701 MAITLAND SUMMIT BLVD
ORLANDO, FL 32810
Orange County (407) 574-4629
EMELY ZAVALA
Behavior Technician
8701 MAITLAND SUMMIT BLVD
ORLANDO, FL 32810
Orange County (407) 574-4629
MARISA CYNTHIA BARBARISE
Specialist/Technologist (Speech-Language Assistant)
8701 MAITLAND SUMMIT BLVD
ORLANDO, FL 32810
Orange County (407) 574-4629
JUAN CARLOS GONZALEZ
Family Medicine
8701 MAITLAND SUMMIT BLVD
ORLANDO, FL 32810
Orange County (407) 200-2759
MS. SHERESE RENAY HARRIS
Behavior Technician
8701 MAITLAND SUMMIT BLVD
ORLANDO, FL 32810
Orange County (407) 574-4629
KATHLEEN RUTH MORGAN ARNP
Nurse Practitioner (Pediatrics)
8701 MAITLAND SUMMIT BLVD
ORLANDO, FL 32810
Orange County (407) 916-4520
LILLYBETH ARROYO
Behavior Technician
8701 MAITLAND SUMMIT BLVD
ORLANDO, FL 32810
Orange County (407) 574-4629

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 Pro Star Pediatrics's NPI number?

The NPI number for Pro Star Pediatrics is 1972679223. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is also known as Rdv Sportsplex Pediatrics.

Where is Pro Star Pediatrics located?

Pro Star Pediatrics is located at 8701 Maitland Summit Blvd, Orlando, FL 32810. The listed phone number is (407) 916-4522.

What is Pro Star Pediatrics's specialty?

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

Does Pro Star Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0950873) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pro Star Pediatrics accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pro Star Pediatrics 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 Pro Star Pediatrics was last updated on February 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.