Organization Active NPI

Oviedo Pediatrics PLC

  • Pediatric Adolescent Medicine Physician
  • Oviedo, FL
National Provider Identifier
1619358231
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
0056487 Issued in FL
Legal business name
OVIEDO PEDIATRICS PLC
Practice address
2959 Alafaya TRL
Suite 101
Oviedo, FL 32765-9482
Phone
(407) 366-3321
Fax
(407) 359-7616
NPI assigned
Jun 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Dr. Maria L Miller, MDNPI 1174601371
Title
Owner
Phone
(407) 366-3321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 0056487 FL Primary

Addresses

Primary practice location

2959 Alafaya TRL
Suite 101
Oviedo, FL 32765-9482

Mailing address

2959 Alafaya TRL
Suite 101
Oviedo, FL 32765-9482
Phone (407) 366-3321

Other identifiers 1

IdentifierTypeStateIssuer
061944200MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0895022Oviedo Pediatrics2959 Alafaya Trail Suite 101, Oviedo, FL 32765Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Locations

2959 Alafaya Trl
Ste 101
Oviedo, FL 32765
Phone (407) 366-3321

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1619358231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 ALAFAYA TRL",
            "address_2": "SUITE 101",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659482",
            "telephone_number": "407-366-3321",
            "fax_number": "407-359-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 ALAFAYA TRL",
            "address_2": "SUITE 101",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659482",
            "telephone_number": "407-366-3321",
            "fax_number": "407-359-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO PEDIATRICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-366-3321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "0056487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061944200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.