Organization · Type 2 NPI

Csi Pediatric Services, LLC

Health Service Clinic/Center · Tallahassee, FL

NPI number 1164815585 Active

Practice location

1236 Blountstown St
Tallahassee, FL 32304-2715

Call (850) 300-6562 Map

Fax (850) 574-0103

Mailing address

15050 NW 79th Ct Ste 201
Miami Lakes, FL 33016-5810

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	60081011 (FL)

Health Service Clinic/Center: Definition to come...

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NPI record

NPI: 1164815585
Entity type: Organization (Type 2)
Issued: Mar 10, 2015
Last updated: Jul 13, 2022
Status: Active
Subpart: Yes of Pediatric Holdings, LLC

Other names

<unavail>
Csi Special Care · doing business as
Csi Special Care · doing business as
Spark Pediatrics · other name

Authorized official

Donna Lodato, RN
CEO
(786) 522-9600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164815585

Csi Pediatric Services, LLC's National Provider Identifier is 1164815585, issued on Mar 10, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Tallahassee, FL. The record was last updated on Jul 13, 2022.