Organization Active NPI

Abby Pediatric Care LLC

  • Skilled Nursing Facility
  • Punta Gorda, FL
National Provider Identifier
1003792235
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 27, 2025

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)CodeLicenseStatePrimary
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.