FL Pediatric Professionals, P.a.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FL PEDIATRIC PROFESSIONALS, P.A.

Practice address

10 Riverwood Dr Ste a
Crestview, FL 32536-5017

Phone

(850) 689-6766

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Alan Farrugia, DMD

Title

Owner

Phone

(850) 378-1004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1588245088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 N DAVIS HWY # 8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032088",
            "telephone_number": "850-378-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RIVERWOOD DR STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365017",
            "telephone_number": "850-689-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FL PEDIATRIC PROFESSIONALS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "FARRUGIA",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-378-1004",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Fisher
• Michelle Fitch, LPN
• Kelcee Rebecca Fitzgerald
• Patrick Joseph Fitzgerald, MD
• FL Hud Silvercrest LLC (Silvercrest Health and Rehabilitation Center)
• Heather Fleming, ED.S.
• Patricia Ann Fletcher, PA
• Florida Cancer Specialists & Research Institute, LLC
• Florida Department of Health (Okaloosa County Health Dept-Dental)
• Florida Treatment Services

• Pediatric Dentistry in Crestview, FL
• Providers in Crestview, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.