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NPI Code Detail

MEDICARE: BLUE SPRIG PEDIATRICS

MEDICARE: BLUE SPRIG PEDIATRICS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1891621637
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE SPRIG PEDIATRICS
Provider Business Mailing Address
First Line : 2100 N ALAFAYA TRL STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32826-4748
Country : US
Telephone Number : 407-720-4101
Fax Number :
Provider Business Practice Location Address
First Line : 2100 N ALAFAYA TRL STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32826-4748
Country : US
Telephone Number : 407-720-4101
Fax Number :
Authorized Official
Title or Position : RBT
Name : JANINE LORENA CUEVAS
Credential :
Telephone Number : 407-720-4101
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/19/2026

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Directions to “BLUE SPRIG PEDIATRICS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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