MEDICARE: ARCADIA PEDIATRICS PLC

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
1	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790182988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCADIA PEDIATRICS PLC

Provider Business Mailing Address
First Line	:	1014 N MILLS AVE
Second Line	:
City	:	ARCADIA
State	:	FL
Zip	:	34266-8811
Country	:	US
Telephone Number	:	863-494-1553
Fax Number	:	863-494-9492

Provider Business Practice Location Address
First Line	:	1014 N MILLS AVE
Second Line	:
City	:	ARCADIA
State	:	FL
Zip	:	34266-8811
Country	:	US
Telephone Number	:	863-494-1553
Fax Number	:	863-494-9492

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PEDRO R. VILLANUEVA
Credential	:	MD
Telephone Number	:	863-494-1553

Provider Enumeration Date	:	12/03/2014
Last Update Date	:	12/03/2014

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