Caladium Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME83514 Issued in FL

Legal business name

CALADIUM PEDIATRICS

Practice address

77 US Highway 27 N
Lake Placid, FL 33852-9571

Phone

(863) 699-5437

Fax

(863) 699-9000

NPI assigned

May 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Anavatti L Raghuveera, MD

Title

Medical Director

Phone

(863) 699-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1273968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1710205661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 US HIGHWAY 27 N",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529571",
            "telephone_number": "863-699-5437",
            "fax_number": "863-699-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 US HIGHWAY 27 N",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529571",
            "telephone_number": "863-699-5437",
            "fax_number": "863-699-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALADIUM PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-16",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "RAGHUVEERA",
        "authorized_official_first_name": "ANAVATTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "863-699-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME83514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002108800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carin D Bralts
• Leann Irene Stokes Brown
• Kimberly Bush, PTA
• Cynthia Jean Buyea
• Caladium ER SVCS Partnership LLC
• Derwin T Callahan
• Mekesha Callahan
• Richard A Campbell, M.D.
• Care Center of Lake Placid
• Melissa Carle

• Pediatrics Physician in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.