Organization Active NPI

Excel Pediatrics

  • Non-Pharmacy Dispensing Site
  • Clermont, FL
National Provider Identifier
1245499367
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME72542 Issued in FL
Legal business name
EXCEL PEDIATRICS
Practice address
265 Citrus Tower Blvd
Ste # 102
Clermont, FL 34711-1908
Phone
(352) 394-3929
Fax
(352) 394-6446
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Dr. Mohammad Afzal, MDNPI 1669411161
Title
MD
Phone
(352) 394-3929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME72542 FL Primary

Addresses

Primary practice location

265 Citrus Tower Blvd
Ste # 102
Clermont, FL 34711-1908

Mailing address

265 Citrus Tower Blvd
Ste # 102
Clermont, FL 34711-1908
Phone (352) 394-3929

Other identifiers 1

IdentifierTypeStateIssuer
032385300MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Excel Pediatrics PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15724/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1245499367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CITRUS TOWER BLVD",
            "address_2": "STE # 102",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111908",
            "telephone_number": "352-394-3929",
            "fax_number": "352-394-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CITRUS TOWER BLVD",
            "address_2": "STE # 102",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111908",
            "telephone_number": "352-394-3929",
            "fax_number": "352-394-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "AFZAL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-394-3929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME72542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032385300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.