Healthcare Provider Details

I. General information

NPI: 1629507579
Provider Name (Legal Business Name): ALL ABOUT PEDIATRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 WEST STATE ROAD 434 STE FG
LONGWOOD FL
32750-4908
US

IV. Provider business mailing address

2800 CLEVELAND AVE NORTH
ROSEVILLE MN
55113-1126
US

V. Phone/Fax

Practice location:
  • Phone: 904-240-4555
  • Fax: 904-272-9080
Mailing address:
  • Phone: 651-642-1825
  • Fax: 651-638-0680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1313693
License Number StateFL

VIII. Authorized Official

Name: CAMEO K ZEHNDER
Title or Position: CHIEF ADMINISTRATIVE OFFICER & VP
Credential:
Phone: 651-604-5165