Active NPI
Nadal Pediatrics, LLC
- Pediatrics Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NADAL PEDIATRICS, LLC
- Practice address
- 621 Victoria St
Brandon, FL 33510-4313 - Phone
- (813) 655-0292
- Fax
- (813) 655-4302
- NPI assigned
- Jan 27, 2006
- 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
- Dr. Florencio Nadal, M.D.
- Title
- President
- Phone
- (813) 655-0292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
621 Victoria St
Brandon, FL 33510-4313
Mailing address
PO Box 2715
Brandon, FL 33509-2715
Phone (813) 655-0292
Other practice location 1
376 E Bloomingdale Ave
Brandon, FL 33511-8155
Phone (813) 681-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262330700 | Medicaid | FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0973887 | Nadal Pediatrics | Certificate of waiver | May 22, 2028 |
| 10D1010830 | Nadal Pediatrics | Certificate of waiver | Mar 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
376 E Bloomingdale Ave
Brandon, FL 33511
Phone (813) 681-7101
621 Victoria St
Brandon, FL 33510
Phone (813) 655-0292
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Brandon, FL
- NPI 1992776025
-
- Pediatrics Physician
- Lithia, FL
- NPI 1790273852
-
- Pediatrics Physician
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- NPI 1407083520
-
- Pediatric Nurse Practitioner
- Brandon, FL
- NPI 1962473892
-
- Medical Physician Assistant
- Brandon, FL
- NPI 1992001861
-
- Pediatric Nurse Practitioner
- Brandon, FL
- NPI 1144779927
-
- Pediatric Nurse Practitioner
- Tampa, FL
- NPI 1568692176
-
- Pediatrics Physician
- Brandon, FL
- NPI 1881665917
-
- Pediatric Nurse Practitioner
- Brandon, FL
- NPI 1962298356
-
- Pediatric Nurse Practitioner
- Brandon, FL
- NPI 1174597264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1013988146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2715",
"city": "BRANDON",
"state": "FL",
"postal_code": "335092715",
"telephone_number": "813-655-0292",
"fax_number": "813-655-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 VICTORIA ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335104313",
"telephone_number": "813-655-0292",
"fax_number": "813-655-4302"
}
],
"practiceLocations": [
{
"address_1": "376 E Bloomingdale Ave",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335118155",
"country_code": "US",
"telephone_number": "813-681-7101",
"fax_number": "813-571-7158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NADAL PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-27",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "NADAL",
"authorized_official_first_name": "FLORENCIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-655-0292",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262330700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.