Florida Kids Ppec, LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

FLORIDA KIDS PPEC, LLC

Practice address

5 E. Lane Dr.
Units a/B
Mary Esther, FL 32569

Phone

(850) 226-8331

NPI assigned

Jun 3, 2019

Organization subpart

No

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

Authorized official

Name

Mohamed M Abdelli, R.N.NPI 1235453317

Title

Administrator

Phone

(850) 960-5045

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mohamed M. Abdelli, RN

  • Registered Nurse
  • Panama City, FL
  • NPI 1235453317
  NPD Authorized official

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1780242982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HARRISON PL",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054470",
            "telephone_number": "850-960-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E. LANE DR.",
            "address_2": "UNITS A/B",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "32569",
            "telephone_number": "850-226-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA KIDS PPEC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "ABDELLI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-960-5045",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast Psychiatric Care PA
• Michelle Espinoza, LMHC
• Leonard William Fabian III, D.C.
• Dina Anne Farmer
• Bradyn Harrison Flanagin
• Christine Fortis, RBT
• Julie L Fraser, RPH
• Katherine Irene Frechette, LMHC
• Tayler Garzarek
• Shyann Renae Gibbons

• Pediatric Skilled Nursing Facility in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Pediatric Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.