Active NPI
Pedscare PA
- Pediatrics Physician
- Tavares, FL
National Provider Identifier
1154402857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME75364
- Legal business name
- PEDSCARE PA
- Practice address
- 1801 Salk Ave
Tavares, FL 32778-4311 - Phone
- (352) 742-2585
- Fax
- (352) 742-0724
- NPI assigned
- Oct 18, 2006
- Last updated
- Jan 6, 2012
- 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. Maria Cristina Soto, MD FAAP
- Title
- President
- Phone
- (352) 742-2585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME75364 | FL | Primary |
Addresses
Primary practice location
1801 Salk Ave
Tavares, FL 32778-4311
Mailing address
1801 Salk Ave
Tavares, FL 32778-4311
Phone (352) 742-2585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43563 | Other | FL | BCBS OF FL |
National Provider Directory
National Provider DirectoryLocations
1801 Salk Ave
Tavares, FL 32778
Phone (352) 508-5353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325808000000",
"number": "1154402857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 SALK AVE",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784311",
"telephone_number": "352-742-2585",
"fax_number": "352-742-0724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SALK AVE",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784311",
"telephone_number": "352-742-2585",
"fax_number": "352-742-0724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDSCARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2012-01-06",
"status": "A",
"authorized_official_last_name": "SOTO",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "CRISTINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-742-2585",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD FAAP"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME75364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "43563",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.