Organization Active NPI

Mid-Florida Pediatrics PA

  • Pediatrics Physician
  • Winter Park, FL
National Provider Identifier
1528084332
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MID-FLORIDA PEDIATRICS PA
Practice address
2340 Glenwood Dr
Winter Park, FL 32792-3314
Phone
(407) 975-0681
Fax
(407) 975-0683
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Manjit Juneja Virdi, M.D.
Title
Director
Phone
(407) 975-0681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2340 Glenwood Dr
Winter Park, FL 32792-3314

Mailing address

2340 Glenwood Dr
Winter Park, FL 32792-3314
Phone (407) 975-0681

National Provider Directory

National Provider Directory

Locations

124 Benmore Dr
Winter Park, FL 32792
Phone (407) 920-5443

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1528084332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 GLENWOOD DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923314",
            "telephone_number": "407-975-0681",
            "fax_number": "407-975-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 GLENWOOD DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923314",
            "telephone_number": "407-975-0681",
            "fax_number": "407-975-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "VIRDI",
        "authorized_official_first_name": "MANJIT",
        "authorized_official_middle_name": "JUNEJA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-975-0681",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.