NPIMap

Organization Active NPI

Pediatric Professionals, LLC

  • Pediatrics Physician
  • Kissimmee, FL
National Provider Identifier
1902294382
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME69091 Issued in FL
Legal business name
PEDIATRIC PROFESSIONALS, LLC
Practice address
1207 E Vine St Ste a
Kissimmee, FL 34744-3545
Phone
(407) 344-0021
Fax
(407) 286-4167
NPI assigned
Jan 7, 2015
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Dr. Akbar Qureshi, MDNPI 1235138850
Title
Owner
Phone
(407) 344-0021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME69091 FL Primary

Addresses

Primary practice location

1207 E Vine St Ste a
Kissimmee, FL 34744-3545

Mailing address

1207 E Vine St Ste a
Kissimmee, FL 34744-3545
Phone (407) 344-0021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1902294382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E VINE ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443545",
            "telephone_number": "407-344-0021",
            "fax_number": "407-286-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E VINE ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443545",
            "telephone_number": "407-344-0021",
            "fax_number": "407-286-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "AKBAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-344-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME69091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.