Island Pediatrics of Islamorada PA
Organization Active NPI Pediatrics Physician · Islamorada, FL
NPI 1124190764 · NPPES record last updated Mar 18, 2009
Key facts
- NPI
- 1124190764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME103085 (FL)
- Legal business name
- ISLAND PEDIATRICS OF ISLAMORADA PA
- Practice address
- 81599 Old Hwy
Islamorada, FL 33036-3711 - Phone
- (305) 664-3384
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kristi Bengtson Bagnell, MD
- Title
- President
- Phone
- (305) 664-3384
National Provider Directory
Locations
81599 Old Hwy
Islamorada, FL 33036
Phone (305) 664-3384
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | ME103085 | FL | Yes |
Addresses
Primary practice location
81599 Old Hwy
Islamorada, FL 33036-3711
Mailing address
81599 Old Hwy
Islamorada, FL 33036-3711
Phone (305) 664-3384
Other providers in Islamorada, FL
- Devonne P Hall
- Rose Elizabeth Hewson-Hussey
- Mark J. Hlis
- Holiday CVS LLC
- Islamorada Village of Islands a Florida Municipality
- Nicholas Jastrzemski
- Janis J Jeffers
- Keys Medical Center, Inc.
- Abrianna Rochelle Lawrence
- Pillar to Path Health, PLLC
All providers in Islamorada, 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 Mar 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.