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NPI Code Detail

MEDICARE: NADAL PEDIATRICS, LLC

MEDICARE: NADAL PEDIATRICS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013988146
Entity Type Code : Organization
Provider Name (Legal Business Name) : NADAL PEDIATRICS, LLC
Provider Business Mailing Address
First Line : PO BOX 2715
Second Line :
City : BRANDON
State : FL
Zip : 33509-2715
Country : US
Telephone Number : 813-655-0292
Fax Number : 813-655-4302
Provider Business Practice Location Address
First Line : 621 VICTORIA ST
Second Line :
City : BRANDON
State : FL
Zip : 33510-4313
Country : US
Telephone Number : 813-655-0292
Fax Number : 813-655-4302
Authorized Official
Title or Position : PRESIDENT
Name : DR. FLORENCIO NADAL
Credential : M.D.
Telephone Number : 813-655-0292
Provider Enumeration Date : 01/27/2006
Last Update Date : 03/08/2024

Similar Medicare Providers

1992776025 — DR. FLORENCIO ANTOLIN NADAL JR. M.D.
Practice Location Address:
621 VICTORIA ST
BRANDON, FL
33510-4313
Practice Phone: 813-655-0292
Practice Fax: 813-655-4302
1881665917 — DR. MARK KANAREK M.D.
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1962473892 — JANET BUCKLEY A.R.N.P.
Practice Location Address:
621 VICTORIA ST
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Practice Phone: 813-655-0292
Practice Fax: 813-655-4302
1174597264 — MRS. JOYCE YOUNG A.R.N.P.
Practice Location Address:
621 VICTORIA ST
BRANDON, FL
33510-4313
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Practice Fax: 813-655-4302
1407083520 — DR. ERICA ACOSTA BARTELT MD
Practice Location Address:
621 VICTORIA ST
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1992001861 — MS. MEGAN CECKA PA-C
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Directions to “NADAL PEDIATRICS, LLC ” Practice Location

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