Active NPI
Abby Pediatric Care LLC
- Skilled Nursing Facility
- Punta Gorda, FL
National Provider Identifier
1003792235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ABBY PEDIATRIC CARE LLC
- Practice address
- 25097 Olympia Ave Ste 205-207
Punta Gorda, FL 33950-3912 - Phone
- (239) 245-7248
- NPI assigned
- Aug 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dayli Taillacq
- Title
- Owner
- Phone
- (239) 245-7248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
25097 Olympia Ave Ste 205-207
Punta Gorda, FL 33950-3912
Mailing address
25097 Olympia Ave Ste 205-207
Punta Gorda, FL 33950-3912
Phone (239) 245-7248
National Provider Directory
National Provider Directory- Tax ID family
- Abby Pediatric Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Fort Myers, FL
- NPI 1326752551
Locations
25097 Olympia Ave
Ste 205207
Punta Gorda, FL 33950
Phone (239) 245-7248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1003792235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25097 OLYMPIA AVE STE 205-207",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503912",
"telephone_number": "239-245-7248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25097 OLYMPIA AVE STE 205-207",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503912",
"telephone_number": "239-245-7248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABBY PEDIATRIC CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "TAILLACQ",
"authorized_official_first_name": "DAYLI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-245-7248"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.