Active NPI
Night Lite Pediatric Center, LLC
- Pediatrics Physician
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0061521
- Legal business name
- NIGHT LITE PEDIATRIC CENTER, LLC
- Practice address
- 620 S Hunt Club Blvd
Apopka, FL 32703-4958 - Phone
- (407) 478-5955
- NPI assigned
- Mar 27, 2007
- Last updated
- Aug 20, 2026
- 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
- Kristen Hanly
- Title
- Director of RCM Operations
- Phone
- (516) 207-7919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0061521 | FL | Primary |
Addresses
Primary practice location
620 S Hunt Club Blvd
Apopka, FL 32703-4958
Mailing address
1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (516) 207-7936
Other practice location 1
145 Palm Bay Rd NE
Melbourne, FL 32904-8601
Phone (321) 608-3595
Other practice location 2
11325 Lake Underhill Rd Ste 103
Orlando, FL 32825-5090
Phone (407) 398-6702
Other practice location 3
2322 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-5401
Phone (407) 279-5950
Other practice location 4
131 SW Port St Lucie Blvd
Port St Lucie, FL 34984-5042
Phone (772) 807-1580
Other practice location 5
10325 San Jose Blvd
Jacksonville, FL 32257-6204
Phone (904) 717-1034
Other practice location 6
1267 W Osceola Pkwy
Kissimmee, FL 34741-7556
Phone (407) 569-0220
Other practice location 7
13750 W Colonial Dr Ste 250
Winter Garden, FL 34787-6142
Phone (407) 905-4717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210330002022 | FL | Part B Supplier - Clinic/Group Practice | 1456768977 | Practice locations: Kissimmee, FL; Orlando, FL; Port Saint Lucie, FL |
National Provider Directory
National Provider DirectoryLocations
620 S Hunt Club Blvd
Apopka, FL 32703
Phone (407) 478-5955
10325 San Jose Blvd
Jacksonville, FL 32257
Phone (321) 608-3595
2322 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744
Phone (407) 279-5950
145 Palm Bay Rd NE
Ste 112
Melbourne, FL 32904
14924 Pines Blvd
Unit B112
Pembroke Pines, FL 33027
Phone (954) 406-6767
131 SW Port St Lucie Blvd
Port St Lucie, FL 34984
Phone (321) 608-3595
145 Palm Bay Rd NE
West Melbourne, FL 32904
Phone (321) 608-3595
145 Palm Bay Rd NE
Ste 111
West Melbourne, FL 32904
Phone (321) 608-3595
13750 W Colonial Dr
Ste 250
Winter Garden, FL 34787
25311 Hillside Ave
Bellerose, NY 11426
5740 Broadway
Unit E
Bronx, NY 10463
Phone (929) 920-5437
7020 Austin St
Forest Hills, NY 11375
Phone (631) 432-4765
5050 Sunrise Hwy
Massapequa Park, NY 11762
Phone (516) 541-5437
350 Sunrise Hwy
Rockville Ctr, NY 11570
Phone (516) 763-4764
Practitioners & affiliated clinicians
Practitioners 82
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.
-
- Physician Assistant
- Orlando, FL
- NPI 1295406783
-
- Pediatrics Physician
- Orlando, FL
- NPI 1235430034
-
- Pediatric Nurse Practitioner
- Port St Lucie, FL
- NPI 1134862246
-
- Pediatrics Physician
- Naples, FL
- NPI 1134515687
-
- Pediatrics Physician
- Orlando, FL
- NPI 1447291414
-
- Pediatrics Physician
- Orlando, FL
- NPI 1144422080
-
- Medical Physician Assistant
- Boca Raton, FL
- NPI 1376320788
-
- Pediatric Nurse Practitioner
- West Melbourne, FL
- NPI 1285142661
-
- Pediatrics Physician
- Orlando, FL
- NPI 1184614992
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Orlando, FL
- NPI 1093822629
-
- Pediatric Nurse Practitioner
- Orlando, FL
- NPI 1619452562
-
- Physician Assistant
- Jacksonville, FL
- NPI 1043946486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1407974579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOLLOW LN STE 301",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421215",
"telephone_number": "516-207-7936",
"fax_number": "516-207-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S HUNT CLUB BLVD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327034958",
"telephone_number": "407-478-5955"
}
],
"practiceLocations": [
{
"address_1": "145 Palm Bay Rd NE",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329048601",
"country_code": "US",
"telephone_number": "321-608-3595",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11325 Lake Underhill Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328255090",
"country_code": "US",
"telephone_number": "407-398-6702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2322 E Irlo Bronson Memorial Hwy",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347445401",
"country_code": "US",
"telephone_number": "407-279-5950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131 SW Port St Lucie Blvd",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349845042",
"country_code": "US",
"telephone_number": "772-807-1580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10325 San Jose Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322576204",
"country_code": "US",
"telephone_number": "904-717-1034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1267 W Osceola Pkwy",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347417556",
"country_code": "US",
"telephone_number": "407-569-0220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13750 W Colonial Dr Ste 250",
"address_purpose": "LOCATION",
"city": "Winter Garden",
"state": "FL",
"postal_code": "347876142",
"country_code": "US",
"telephone_number": "407-905-4717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NIGHT LITE PEDIATRIC CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "HANLY",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "DIRECTOR OF RCM OPERATIONS",
"authorized_official_telephone_number": "516-207-7919"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0061521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.