Active NPI
Oviedo Pediatrics PLC
- Pediatric Adolescent Medicine Physician
- Oviedo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 0056487
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria L Miller, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061944200 | Medicaid | FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0895022 | Oviedo Pediatrics | Certificate of waiver | May 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Oviedo, FL
- NPI 1174601371
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.