Advanced Kid'S Care

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME113681 Issued in FL

Legal business name

ADVANCED KID'S CARE

Practice address

98 Terra Mango Loop
Unit 12
Orlando, FL 32835

Phone

(419) 819-7137

NPI assigned

Dec 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Bernadette Antonyrajah, MDNPI 1295997666

Title

Director

Phone

(419) 819-7137

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Bernadette C. Antonyrajah, MD

  • Pediatrics Physician
  • Des Moines, IA
  • NPI 1295997666
  NPD Authorized official
• Avind Darryl Rampersad, M.D

  • Pediatric Critical Care Medicine Physician
  • Pensacola, FL
  • NPI 1457516486
  NPD

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1396250098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 LATROBE DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868914",
            "telephone_number": "419-819-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 TERRA MANGO LOOP",
            "address_2": "UNIT 12",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32835",
            "telephone_number": "419-819-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED KID'S CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "ANTONYRAJAH",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-819-7137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME113681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3108461",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Healthy Hair
• Advanced Home Care & Companions, Inc.
• Advanced Integrative Care
• Advanced Interventional Pain Clinic LLC
• Advanced Joint and Spine Institute-Orlando, LLC
• Advanced Kids Urgent Care Professionals LLC
• Advanced Med Partners LLC
• Advanced Medical Associates, LLC
• Advanced Mobility of Central Florida Corp
• Advanced Neurosurgical Technologies

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.