Pediatric Surgery P.A.

LBN: Pediatric Surgery P.A.
Pediatric Surgery P.A. is an health care organization with primary practice located at 1220 Sligh Blvd , Orlando FL 32806-1108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as the primary health care specialty. Pediatric Surgery P.A. can be contacted via phone (407) 228-4774, or through Chaet, Mark S via phone (407) 228-4774.

Contact Information

Primary practice address
1220 Sligh Blvd Orlando FL 32806-1108
Phone: (407) 228-4774
Fax: (407) 228-2128
Website:
Map and Directions
Authorized official contact:
Name: Chaet, Mark S Doctor of Medicine (MD)
Phone: (407) 228-4774

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X

Profile Details

NPI number 1023039351
LBN Legal business name Pediatric Surgery P.A.
DBA Doing business as
Authorized official Chaet, Mark S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Nov 18th, 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 1023039351 NPPES
Florida MEDICAID 253269700

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