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General NPI Number Information
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NPI Number | 1932088960
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Entity Type | Organization
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Legal Business Name | LITTLE MIRACLES PEDIATRICS LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 5575 S SEMORAN BLVD STE 23
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City | ORLANDO
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State | FL
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Zip | 32822-1781
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Country | US
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Telephone | 917-340-0569
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Fax |
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Provider Business Mailing Address
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Address Line | 10152 AUTHORS WAY
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City | ORLANDO
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State | FL
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Zip | 32832-6348
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Country | US
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Telephone | 917-340-0569
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA OWSIK
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Credential | MD
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Telephone | 917-340-0569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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