MEDICARE: ACD PEDIATRIC GROUP, P.A.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	2083B0002X	Obesity Medicine (Preventive Medicine) Physician
3	2080B0002X	Pediatric Obesity Medicine Physician
4	208000000X	Pediatrics Physician

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

General Provider Information

NPI Number	:	1245392943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACD PEDIATRIC GROUP, P.A.

Provider Business Mailing Address
First Line	:	3416 W 84TH ST STE 100
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-4934
Country	:	US
Telephone Number	:	305-826-9449
Fax Number	:	305-828-1255

Provider Business Practice Location Address
First Line	:	3416 W 84TH STREET
Second Line	:	SUITE 100
City	:	HIALEAH
State	:	FL
Zip	:	33018-4933
Country	:	US
Telephone Number	:	305-826-9449
Fax Number	:	305-828-1255

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	EVELYN ANEIDA DELGADO
Credential	:
Telephone Number	:	305-826-9449

Provider Enumeration Date	:	12/16/2006
Last Update Date	:	04/13/2026

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