Organization Active NPI

Central Florida Pediatrics Intensive Care Spec

  • Pediatric Critical Care Medicine Physician
  • Orlando, FL
National Provider Identifier
1184711442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
ME73889 Issued in FL
Legal business name
CENTRAL FLORIDA PEDIATRICS INTENSIVE CARE SPEC
Practice address
844 N Thornton Ave
Orlando, FL 32803-4003
Phone
(407) 894-8768
Fax
(407) 894-6872
NPI assigned
Oct 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Oludapo F Soremi, MD
Title
Physician
Phone
(407) 894-8768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X ME73889 FL Primary

Addresses

Primary practice location

844 N Thornton Ave
Orlando, FL 32803-4003

Mailing address

1349 Ballentyne PL
Apopka, FL 32703-6870
Phone (407) 894-8768

Other names 1

  • Night Lite Pediatrics Other name

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Pediatric Intensvie Care Specialist2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184711442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 BALLENTYNE PL",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036870",
            "telephone_number": "407-894-8768",
            "fax_number": "407-894-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N THORNTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034003",
            "telephone_number": "407-894-8768",
            "fax_number": "407-894-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PEDIATRICS INTENSIVE CARE SPEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOREMI",
        "authorized_official_first_name": "OLUDAPO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-894-8768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "FL",
            "license": "ME73889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Night Lite Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.