Active NPI
Pediatric Gastroenterology of Central Florida PA
- Pediatric Gastroenterology Physician
- Orlando, FL
National Provider Identifier
1912932138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- ME67768
- Legal business name
- PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA
- Practice address
- 615 E Princeton St
Suite 510
Orlando, FL 32803-1456 - Phone
- (407) 898-1210
- Fax
- (407) 898-2920
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sangeeta Bhargava, MD
- Title
- Owner
- Phone
- (407) 898-1210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | ME67768 | FL | Primary |
Addresses
Primary practice location
615 E Princeton St
Suite 510
Orlando, FL 32803-1456
Mailing address
PO Box 691594
Orlando, FL 32869
Phone (407) 898-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278363100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
615 E Princeton St
Ste 530
Orlando, FL 32803
Phone (407) 898-1210
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Orlando, FL
- NPI 1023607280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395014400000",
"number": "1912932138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 691594",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32869",
"telephone_number": "407-898-1210",
"fax_number": "407-898-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E PRINCETON ST",
"address_2": "SUITE 510",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031456",
"telephone_number": "407-898-1210",
"fax_number": "407-898-2920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2014-03-17",
"status": "A",
"authorized_official_last_name": "BHARGAVA",
"authorized_official_first_name": "SANGEETA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-898-1210",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "FL",
"license": "ME67768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278363100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.