Active NPI
Total Pediatric Care
- Pediatrics Physician
- Fort Lauderdale, FL
National Provider Identifier
1316349905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0060159
- Legal business name
- TOTAL PEDIATRIC CARE
- Doing business as
- Total Pediatric Care
- Practice address
- 100 E Commercial Blvd
Ft Lauderdale, FL 33334-1687 - Phone
- (954) 351-0202
- Fax
- (954) 351-0201
- NPI assigned
- Sep 25, 2014
- Last updated
- Sep 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanetta Flood, MA
- Title
- Office Manager
- Phone
- (954) 351-0202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0060159 | FL | Primary |
Addresses
Primary practice location
100 E Commercial Blvd
Ft Lauderdale, FL 33334-1687
Mailing address
100 E Commercial Blvd
Ft Lauderdale, FL 33334-1687
Phone (954) 351-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370024101 | Medicaid | FL |
Other names 1
- Total Pediatric Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0912207 | Total Pediatric Care | Certificate of waiver | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
100 E Commercial Blvd
Ft Lauderdale, FL 33334
Phone (954) 256-8966
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Nurse Practitioner
- Fort Lauderdale, FL
- NPI 1558039123
-
- Pediatrics Physician
- Fort Lauderdale, FL
- NPI 1245295328
-
- Pediatrics Physician
- Fort Lauderdale, FL
- NPI 1528023603
-
- Pediatrics Physician
- Weston, FL
- NPI 1588926505
-
- Emergency Medical Services (Emergency Medicine) Physician
- Phoenix, AZ
- NPI 1225561384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411603200000",
"number": "1316349905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E COMMERCIAL BLVD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333341687",
"telephone_number": "954-351-0202",
"fax_number": "954-351-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E COMMERCIAL BLVD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333341687",
"telephone_number": "954-351-0202",
"fax_number": "954-351-0201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL PEDIATRIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-25",
"last_updated": "2014-09-25",
"status": "A",
"authorized_official_last_name": "FLOOD",
"authorized_official_first_name": "JEANETTA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "954-351-0202",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0060159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370024101",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Total Pediatric Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
- Greta Catalina Torrez-Diaz
- Carolyn Torrillo, DO
- Total Care Manor, Inc (Horizon ALF)
- Total Care Medical & Dental Supplies and Equipment
- Total Mental Wellness
- Total Renal Care Inc (Fort Lauderdale Renal Associates)
- Total Renal Care Inc (Complete Dialysis Care South)
- Total Vein and Skin LLC (Premier Dermatology Partners)
- Victor Totfalusi, D.O.
- Lisa Marie Totino, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.