Prime Pediatrics of Casselberry

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME101587 Issued in FL

Legal business name

PRIME PEDIATRICS OF CASSELBERRY

Practice address

3950 S Hwy 17/92
Ste 2024
Casselberry, FL 32707-3295

Phone

(407) 809-5562

Fax

(407) 809-5562

NPI assigned

Dec 17, 2013

Last updated

Dec 17, 2013By 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

Salma Elfaki, MDNPI 1093975674

Title

Member

Phone

(407) 809-5562

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Salma H Elfaki, MD

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1093975674
  NPD (past) Authorized official

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1528489606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8236 LEE VISTA BLVD",
            "address_2": "STE I",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298070",
            "telephone_number": "407-809-5562",
            "fax_number": "407-809-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 S HWY 17/92",
            "address_2": "STE 2024",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073295",
            "telephone_number": "407-809-5562",
            "fax_number": "407-809-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PEDIATRICS OF CASSELBERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "ELFAKI",
        "authorized_official_first_name": "SALMA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "407-809-5562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME101587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laketria Pope, LPN
• Eli Porth, DO
• Carl Pratt Jr., MSMHC
• Emma Pratt, M.A., CCC-SLP
• Lindsay Price
• Professional Eyecare Consultants PA
• Publix Super Markets Inc (Publix Pharmacy #1285)
• Publix Super Markets Inc (Publix Pharmacy #0379)
• Jose Emiliano Puentes
• Quality Care Management, Inc

• Pediatrics Physician in Casselberry, FL
• Providers in Casselberry, 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 17, 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.