Organization Active NPI

Kids and More Pediatric Care

  • Pediatric Adolescent Medicine Physician
  • Brandon, FL
National Provider Identifier
1649660895
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME60516 Issued in FL
Legal business name
KIDS AND MORE PEDIATRIC CARE
Practice address
302 Bryan Rd
Suite 1
Brandon, FL 33511-5337
Phone
(813) 654-1220
Fax
(813) 654-6746
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Dr. Robert Michael Friedmeyer, MD
Title
President
Phone
(813) 654-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X ME60516 FL Primary

Addresses

Primary practice location

302 Bryan Rd
Suite 1
Brandon, FL 33511-5337

Mailing address

302 Bryan Rd
Suite 1
Brandon, FL 33511-5337
Phone (813) 654-1220

Other identifiers 3

IdentifierTypeStateIssuer
60516OtherFLLICENSE
280296100MedicaidFL
E24174OtherUPIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1649660895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BRYAN RD",
            "address_2": "SUITE 1",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115337",
            "telephone_number": "813-654-1220",
            "fax_number": "813-654-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BRYAN RD",
            "address_2": "SUITE 1",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115337",
            "telephone_number": "813-654-1220",
            "fax_number": "813-654-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS AND MORE PEDIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDMEYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-654-1220",
        "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": "ME60516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "60516",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280296100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E24174",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.