Healthcare Provider Details

I. General information

NPI: 1932088960
Provider Name (Legal Business Name): LITTLE MIRACLES PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5575 S SEMORAN BLVD STE 23
ORLANDO FL
32822-1781
US

IV. Provider business mailing address

10152 AUTHORS WAY
ORLANDO FL
32832-6348
US

V. Phone/Fax

Practice location:
  • Phone: 917-340-0569
  • Fax:
Mailing address:
  • Phone: 917-340-0569
  • Fax:

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. MARIA OWSIK
Title or Position: OWNER
Credential: MD
Phone: 917-340-0569