Florida Pediatric Clinic PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME107976 Issued in FL

Legal business name

FLORIDA PEDIATRIC CLINIC PLLC

Practice address

945 W Michigan Ave Ste 10C
Pensacola, FL 32505-2346

Phone

(850) 332-6788

NPI assigned

Jan 13, 2015

Last updated

Jan 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria Elena Rodriguez, M.D.

Title

President

Phone

(850) 332-6788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1205225414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W MICHIGAN AVE STE 10C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052346",
            "telephone_number": "850-332-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W MICHIGAN AVE STE 10C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052346",
            "telephone_number": "850-332-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PEDIATRIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-332-6788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME107976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Florida Mentor II LLC (Pensacola Developmental Center)
• Florida Physical Therapy Services of Pensacola LLC (Florida Physical Therapy Services of Pensacola)
• Florida Pulmonary Care, Inc.
• Florida State University
• Florida State University College of Medicine
• Florida State University, Pediatric Residency at Sacred Heart Hospital

• Pediatrics Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.