Healthcare Provider Details

I. General information

NPI: 1790182988
Provider Name (Legal Business Name): ARCADIA PEDIATRICS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2014
Last Update Date: 12/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 N MILLS AVE
ARCADIA FL
34266-8811
US

IV. Provider business mailing address

1014 N MILLS AVE
ARCADIA FL
34266-8811
US

V. Phone/Fax

Practice location:
  • Phone: 863-494-1553
  • Fax: 863-494-9492
Mailing address:
  • Phone: 863-494-1553
  • Fax: 863-494-9492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PEDRO R. VILLANUEVA
Title or Position: OWNER
Credential: MD
Phone: 863-494-1553