Pediatric Centers of Lee Co

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC CENTERS OF LEE CO

Practice address

4048 Evans Ave
Ste 209
Ft Myers, FL 33901

Phone

(239) 278-9983

Fax

(239) 278-9985

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Carlos L Morales

Title

Office Manager

Phone

(239) 278-9983

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Osvaldo R Morales del Castillo MD2 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.

• Pediatric Centers of Lee County

  • Pediatrics Physician
  • Lehigh Acres, FL
  • NPI 1235271669
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enrique Luks, M.D.

  • Pediatrics Physician
  • Lehigh Acres, FL
  • NPI 1346219706
  NPD (past)
• Osvaldo R Morales del Castillo, M D

  • Pediatrics Physician
  • Fort Myers, FL
  • NPI 1003974783
  NPD (past)
• Maria F Oliveira, PA-C

  • Pediatrics Physician
  • Fort Myers, FL
  • NPI 1720200678
  NPD (past)
• Robert Edward Rayder

  • Pediatrics Physician
  • Fort Myers, FL
  • NPI 1043383938
  NPD (past)
• Rusi A Udwadia, MD

  • Pediatrics Physician
  • Fort Myers, FL
  • NPI 1235172495
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1205989183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 EVANS AVE",
            "address_2": "STE 209",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-278-9983",
            "fax_number": "239-278-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 EVANS AVE",
            "address_2": "STE 209",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-278-9983",
            "fax_number": "239-278-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CENTERS OF LEE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-278-9983",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255363500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Pechiney, PHARMD
• Kyle Pechtold, COTA/L
• Debra J Peck, APRN
• Joani Pederson
• Pediatric & Perinatal Corp (Pediatric & Perinatal Chiropractic Center)
• Pediatric ENT of Southwest Florida PLLC
• Pediatric Gastroenterology of Florida , PA
• Pediatric Neurology of SW FL, PA
• Pediatric Orthopedics of Southwest FL (Pediatric Orthopedics of SW FL)
• Pediatric Services of America, LLC (Aveanna Healthcare)

• Pediatrics Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.