Skyhigh Children Health LLC
Organization Active NPI Pediatrics Physician · Ocala, FL
NPI 1104534247 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1104534247
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- SKYHIGH CHILDREN HEALTH LLC
- Practice address
- 2801 SE 1St Ave Ste 102
Ocala, FL 34471-0478 - Phone
- (352) 505-1301
- Fax
- (352) 505-9846
- NPI assigned
- Nov 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Bolanle Adebiyi, MD
- Title
- Owner/Director
- Phone
- (352) 505-1301
Practitioners 1
-
Bolanle Adebiyi, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2275774 | Skyhigh Children Health LLC | Certificate of waiver | Jan 26, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
2801 SE 1St Ave Ste 102
Ocala, FL 34471-0478
Mailing address
1202 SW 17TH St Ste 201
Ocala, FL 34471-1283
Phone (352) 505-1301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME130997 | Other | FL | MEDICAL LICENSE |
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All providers in Ocala, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.