NPIMap

Organization Active NPI

Pearl Pediatric Clinic LLC

  • Pediatrics Physician
  • Winter Garden, FL
National Provider Identifier
1699572818
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEARL PEDIATRIC CLINIC LLC
Practice address
15528 W Colonial Dr Unit B
Winter Garden, FL 34787-9577
Phone
(321) 900-0620
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Ifeyinwa Umeh, MDNPI 1841447091
Title
Practice Owner
Phone
(321) 900-0620

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

15528 W Colonial Dr Unit B
Winter Garden, FL 34787-9577

Mailing address

15528 W Colonial Dr Unit B
Winter Garden, FL 34787-9577
Phone (321) 900-0620

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1699572818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15528 W COLONIAL DR UNIT B",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879577",
            "telephone_number": "321-900-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15528 W COLONIAL DR UNIT B",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879577",
            "telephone_number": "321-900-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL PEDIATRIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "UMEH",
        "authorized_official_first_name": "IFEYINWA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "321-900-0620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.