Organization · Type 2 NPI

Nemours Children's Health, Waterford Lakes, Specialty Care

Multi-Specialty Clinic/Center · Orlando, FL

NPI number 1205404761 Active

Practice location

651 N Alafaya Trl
Orlando, FL 32828-7045

Call (407) 650-7715 Map

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

6 other providers at this address

Nemours Children's Health, Waterford Lakes, Urgent CareMulti-Specialty Clinic/Center Orlando, FL NPI 1700457827
Hera Yvonne Nahar, MDPediatrics Physician Orlando, FL NPI 1043274574
Larissa Moon, APRNPediatric Nurse Practitioner Orlando, FL NPI 1437810280
Monica R. Barajas, MDPediatrics Physician Orlando, FL NPI 1912298456
Tansyla Keels Nicholson, MDPediatrics Physician Orlando, FL NPI 1033296215
Thomas B. Ruffin Jr., MDPediatrics Physician Orlando, FL NPI 1205276789

Other multi-specialty clinic/center providers in Orlando

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NPI record

NPI: 1205404761
Entity type: Organization (Type 2)
Issued: Jun 11, 2021
Last updated: Jun 22, 2021
Status: Active
Subpart: Yes of The Nemours Foundation

Other names

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Nemours Children's Health, Waterford Lakes, Specialty Care · doing business as

Authorized official

Rodney Aaron McKendree
VP, Finance
(904) 697-5648

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 1205404761

Nemours Children's Health, Waterford Lakes, Specialty Care's National Provider Identifier is 1205404761, issued on Jun 11, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Orlando, FL. The record was last updated on Jun 22, 2021.