Healthcare Provider Details

I. General information

NPI: 1073932794
Provider Name (Legal Business Name): CENTRAL PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 KELTON AVE
OCOEE FL
34761-3175
US

IV. Provider business mailing address

PO BOX 930
WINDERMERE FL
34786-0930
US

V. Phone/Fax

Practice location:
  • Phone: 407-290-5533
  • Fax:
Mailing address:
  • Phone: 407-290-5533
  • Fax: 407-290-8333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME70278
License Number StateFL

VIII. Authorized Official

Name: DR. MUHAMMAD A SALEEM
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 407-290-5533