Aqua Blue Pediatrics Pllc

LBN: Aqua Blue Pediatrics Pllc
Aqua Blue Pediatrics Pllc is an health care organization with primary practice located at 785 W Granada Blvd Ste 4 , Ormond Beach FL 32174-5163. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Aqua Blue Pediatrics Pllc can be contacted via phone (630) 464-4928, or through Betancourt, Brandon via phone (847) 854-9402.

Contact Information

Primary practice address
785 W Granada Blvd Ste 4 Ormond Beach FL 32174-5163
Phone: (630) 464-4928
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Betancourt, Brandon
Phone: (847) 854-9402

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1619829900
LBN Legal business name Aqua Blue Pediatrics Pllc
DBA Doing business as
Authorized official Betancourt, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2026
Last updated Feb 10th, 2026 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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