Central Florida Pediatric Intensvie Care Specialist

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

ME58278 Issued in FL

Legal business name

CENTRAL FLORIDA PEDIATRIC INTENSVIE CARE SPECIALIST

Practice address

844 N Thornton Ave
Orlando, FL 32803-4003

Phone

(407) 894-8768

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Ayodeji V Otegbeye, MD

Title

Physician

Phone

(407) 894-8768

Specialties & licenses 1

Addresses

Tax ID family

Central Florida Pediatric Intensvie Care Specialist2 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.

• Central Florida Pediatrics Intensive Care Spec

  • Pediatric Critical Care Medicine Physician
  • Orlando, FL
  • NPI 1184711442
  NPD tax ID

Locations

Practitioners 3

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

• Raluca Papadopol, MD

  • Pediatrics Physician
  • East Norriton, PA
  • NPI 1841276458
  NPD
• Whitney Hanna Balmert, PA

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1235430034
  NPD (past)
• Oludapo Soremi, MD

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1760504419

  Pediatric Critical Care Medicine

  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316933799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N THORNTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034003",
            "telephone_number": "407-894-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N THORNTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034003",
            "telephone_number": "407-894-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PEDIATRIC INTENSVIE CARE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTEGBEYE",
        "authorized_official_first_name": "AYODEJI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-894-8768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "FL",
            "license": "ME58278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Oral & Maxillofacial Surgery
• Central Florida Orthopaedic, LLC
• Central Florida Orthopedic Associates Ipa Inc
• Central Florida Pathology Associates PA
• Central Florida Pediatric
• Central Florida Pediatric Sleep Disorders Institute, PA
• Central Florida Pediatrics Intensive Care Spec
• Central Florida Pharmacy Inc
• Central Florida Physicians LLC
• Central Florida Podiatry Associates Ipa, LLC

• Pediatric Critical Care Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatric Critical Care Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.