Pediatric Universe, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC UNIVERSE, LLC

Practice address

3103 Innovation Dr
Saint Cloud, FL 34769-6501

Phone

(860) 992-6794

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Samir Draa, MDNPI 1376662387

Title

Ceo/ Manager

Phone

(860) 992-6794

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Samir Draa, M.D.

  • Pediatrics Physician
  • Saint Cloud, FL
  • NPI 1376662387
  NPD Authorized official

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1275109993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 LORENZA LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277800",
            "telephone_number": "860-992-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 INNOVATION DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696501",
            "telephone_number": "860-992-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC UNIVERSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "DRAA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "CEO/ MANAGER",
        "authorized_official_telephone_number": "860-992-6794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kareo.com",
            "affiliation": "N",
            "endpointDescription": "Office system is being set with EHR provider Kareo.com",
            "address_1": "3103 Innovation Dr",
            "city": "Saint Cloud",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347696501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jolene D Patterson, DC
• Sendy Paul Pascal, NP
• PCS & Behavior Services LLC
• Stephanie Pearo
• Pediatric Neurodevelopmental Associates
• Pediatrics of Central Florida P.a.
• Pediatrix Therapies Inc
• Pee Jay Inc
• Pee Jay Inc (Prescriptions Unlimited VC)
• Pee Jay, Inc (Prescriptions Unlimited)

• Pediatrics Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.