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NPI Code Detail

MEDICARE: PRINCETON PEDIATRICS, PA

MEDICARE: PRINCETON PEDIATRICS, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2804240OTHERFLBLUE CROSS BLUE SHEILD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497026793
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRINCETON PEDIATRICS, PA
Provider Business Mailing Address
First Line : 4804 EDGEWATER DR STE B
Second Line :
City : ORLANDO
State : FL
Zip : 32804-1126
Country : US
Telephone Number : 407-290-3344
Fax Number : 877-767-4236
Provider Business Practice Location Address
First Line : 4804 EDGEWATER DR STE B
Second Line :
City : ORLANDO
State : FL
Zip : 32804-1126
Country : US
Telephone Number : 407-290-3344
Fax Number : 877-767-4236
Authorized Official
Title or Position : PHYSICIAN
Name : DR. TED ADAM KAPLAN
Credential : MD
Telephone Number : 407-290-3344
Provider Enumeration Date : 01/18/2012
Last Update Date : 07/24/2024

Similar Medicare Providers

1316984909 — DR. TED ADAM KAPLAN M.D.
Practice Location Address:
4804 EDGEWATER DR STE B
ORLANDO, FL
32804-1126
Practice Phone: 407-290-3344
Practice Fax: 877-767-4236
1336163823 — MARLENE VERONICA LINDSAY ARNP
Practice Location Address:
4804 EDGEWATER DR STE A
ORLANDO, FL
32804-1126
Practice Phone: 407-574-2121
Practice Fax: 321-697-7000
1841732468 — MONIQUE R MAY M.S. CCC-SLP
Practice Location Address:
4804 EDGEWATER DR
ORLANDO, FL
32804-1126
Practice Phone: 407-900-4805
Practice Fax:
1073006631 — LIVING FLORIDA HEALTHCARE LLC
Practice Location Address:
4804 EDGEWATER DR
ORLANDO, FL
32804-1126
Practice Phone: 321-330-9330
Practice Fax: 321-697-7000
1104595735 — MANAGED HEALTHY LIVING INC
Practice Location Address:
4804 EDGEWATER DR STE A
ORLANDO, FL
32804-1126
Practice Phone: 407-574-3030
Practice Fax: 321-697-7000
1861115958 — MANAGED HEALTHCARE EXPERTS
Practice Location Address:
4804 EDGEWATER DR STE A
ORLANDO, FL
32804-1126
Practice Phone: 321-330-9330
Practice Fax: 321-697-7000

Directions to “PRINCETON PEDIATRICS, PA ” Practice Location

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