Lakemont Pediatrics

LBN: Lakemont Pediatrics
Lakemont Pediatrics is an health care organization with primary practice located at 157 N Lakemont Ave , Winter Park FL 32792-3214. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Lakemont Pediatrics can be contacted via phone (407) 644-6618, or through Pham, Vivien D via phone (407) 644-6618.

Contact Information

Primary practice address
157 N Lakemont Ave Winter Park FL 32792-3214
Phone: (407) 644-6618
Fax: (407) 644-3755
Website:
Map and Directions
Authorized official contact:
Name: Pham, Vivien D Doctor of Medicine (MD)
Phone: (407) 644-6618

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME100800 Florida

Profile Details

NPI number 1053793190
LBN Legal business name Lakemont Pediatrics
DBA Doing business as
Authorized official Pham, Vivien D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2015
Last updated Jun 25th, 2015 - about 11 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053793190 NPPES
Florida MEDICAID 281279700

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