Pediatric Medical Center PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PEDIATRIC MEDICAL CENTER PLLC

Practice address

836 Paul St
Orlando, FL 32808-7545

Phone

(407) 295-2039

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Ijaz Ahmed

Title

General Manager

Phone

(407) 342-1896

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1952012429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 PAUL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087545",
            "telephone_number": "407-295-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PAUL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087545",
            "telephone_number": "407-295-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "407-342-1896",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Gastroenterology of Central Florida PA
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• Pediatric Neurology PA
• Pediatric Nurse Consulting
• Pediatric Services of America, LLC
• Pediatric Speech & Language Pathologist, Inc.
• Pediatric Speech Specialists & Clinical Mental Health Counseling of F

• Primary Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.