NPIMap

Organization Active NPI

Englewood Pediatrics, P.a.

  • Pediatrics Physician
  • Englewood, FL
National Provider Identifier
1356470744
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0059964 Issued in FL
Legal business name
ENGLEWOOD PEDIATRICS, P.A.
Practice address
3670 N Access Rd
Englewood, FL 34224-8888
Phone
(941) 474-5093
Fax
(941) 474-9049
NPI assigned
Mar 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Dr. Shahab Eunus, M.D.NPI 1619085610
Title
President
Phone
(941) 474-5093

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 0059964 FL Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 0059964 FL
Clinical Medical Laboratory 291U00000X 800002855 FL

Addresses

Primary practice location

3670 N Access Rd
Englewood, FL 34224-8888

Mailing address

3670 N Access Rd
Englewood, FL 34224-8888
Phone (941) 474-5093

Other identifiers 1

IdentifierTypeStateIssuer
054195800MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0696839Englewood Pediatrics, PA3670 N Access Rd, Englewood, FL 34224Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

900 Pine St
Ste 216
Englewood, FL 34223

900 Pine St
Unit 216217
Englewood, FL 34223
Phone (941) 474-5093

3670 N Access Rd
Englewood, FL 34224
Phone (941) 474-5093

Practitioners & affiliated clinicians

Practitioners 5

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": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1356470744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 N ACCESS RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342248888",
            "telephone_number": "941-474-5093",
            "fax_number": "941-474-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 N ACCESS RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342248888",
            "telephone_number": "941-474-5093",
            "fax_number": "941-474-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "EUNUS",
        "authorized_official_first_name": "SHAHAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-474-5093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "0059964",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "0059964",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800002855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054195800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.