Children's Healthcare of Central Florida, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME77853 Issued in FL

Legal business name

CHILDREN'S HEALTHCARE OF CENTRAL FLORIDA, LLC

Practice address

2105 Hartwood Marsh Rd
Suite 9
Clermont, FL 34711-5389

Phone

(352) 404-9200

Fax

(352) 404-9232

NPI assigned

Aug 8, 2008

Last updated

Aug 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria Elena Dumalaog-Watson, MD

Title

Manager

Phone

(407) 716-5521

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1376799593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 HARTWOOD MARSH RD",
            "address_2": "SUITE 9",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115389",
            "telephone_number": "352-404-9200",
            "fax_number": "352-404-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 HARTWOOD MARSH RD",
            "address_2": "SUITE 9",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115389",
            "telephone_number": "352-404-9200",
            "fax_number": "352-404-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTHCARE OF CENTRAL FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "DUMALAOG-WATSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-716-5521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME77853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter S Chen, D.M.D., M.M.SC.
• Thomas Cheng, D.M.D.
• Kevin Cheung, PHARMD
• Anastasia Chieffallo
• Janet Patricia Chila, LMHC
• Daniel C Chin, PA
• Lisanne Marie Chiota, FNP
• Jessica Chiozzo
• Choice Meds USA, Inc. (Remote Dispensing Location of Choice Meds USA)
• Shobashalini Chokkalingam, MD

• Primary Care Clinic/Center in Clermont, FL
• Providers in Clermont, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.