Healthcare Provider Details

I. General information

NPI: 1780516864
Provider Name (Legal Business Name): PEDIATRICS OF CENTRAL FLORIDA P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 SANDLAKE COMMONS BLVD STE 1115
ORLANDO FL
32819-8031
US

IV. Provider business mailing address

801 W OAK ST STE 101
KISSIMMEE FL
34741-6605
US

V. Phone/Fax

Practice location:
  • Phone: 407-846-3455
  • Fax: 407-857-9560
Mailing address:
  • Phone: 407-846-3455
  • Fax: 407-846-3670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARY K JANARIOUS
Title or Position: PRESIDENT
Credential: MD
Phone: 407-846-3455