Organization · Type 2 NPI
Pro Star Pediatrics
Pediatric Adolescent Medicine Physician · Orlando, FL
NPI number
1972679223
Active
Practice location
8701 Maitland Summit Blvd
Orlando, FL 32810-5915
Fax (407) 916-4525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | ME0036554 (FL) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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About NPI 1972679223
Pro Star Pediatrics's National Provider Identifier is 1972679223, issued on Nov 28, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Orlando, FL. The record was last updated on Feb 20, 2014.