MEDICARE: WORLD OF 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
1	208000000X	Pediatrics Physician	ME99347	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1043514862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLD OF PEDIATRICS, LLC

Provider Business Mailing Address
First Line	:	327 W CYPRESS ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-3326
Country	:	US
Telephone Number	:	407-483-0672
Fax Number	:

Provider Business Practice Location Address
First Line	:	4151 HUNTERS PARK LN
Second Line	:	SUITE 116
City	:	ORLANDO
State	:	FL
Zip	:	32837-3617
Country	:	US
Telephone Number	:	407-483-0672
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MRS. JANETTE GARGIULO
Credential	:
Telephone Number	:	407-398-6470

Provider Enumeration Date	:	01/09/2011
Last Update Date	:	02/01/2011

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Directions to “WORLD OF PEDIATRICS, LLC ” Practice Location

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