Organization Active NPI

Personal Pediatrics

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1306934872
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME45910 Issued in FL
Legal business name
PERSONAL PEDIATRICS
Practice address
7051 Dr Phillips Blvd Suite 7
Orlando, FL 32819
Phone
(407) 345-9929
Fax
(407) 447-8969
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Ruthie Bayo
Title
Front Office Lead
Phone
(407) 345-9929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME45910 FL Primary

Addresses

Primary practice location

7051 Dr Phillips Blvd Suite 7
Orlando, FL 32819

Mailing address

7051 Dr Phillips Blvd Suite 7
Orlando, FL 32819
Phone (407) 345-9929

National Provider Directory

National Provider Directory

Locations

7051 Dr Phillips Blvd
Ste 1
Orlando, FL 32819
Phone (321) 345-0005

Practitioners & affiliated clinicians

Practitioners 3

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1306934872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 DR PHILLIPS BLVD SUITE 7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "407-345-9929",
            "fax_number": "407-447-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 DR PHILLIPS BLVD SUITE 7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "407-345-9929",
            "fax_number": "407-447-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "BAYO",
        "authorized_official_first_name": "RUTHIE",
        "authorized_official_title_or_position": "FRONT OFFICE LEAD",
        "authorized_official_telephone_number": "407-345-9929"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME45910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 3, 2024; 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.