MEDICARE: NIGHT LITE PEDIATRIC CENTER, 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

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	:	1255091211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIGHT LITE PEDIATRIC CENTER, LLC

Provider Business Mailing Address
First Line	:	1 HOLLOW LN STE 301
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1215
Country	:	US
Telephone Number	:	516-207-7936
Fax Number	:

Provider Business Practice Location Address
First Line	:	8956 TURKEY LAKE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7327
Country	:	US
Telephone Number	:	407-506-0002
Fax Number	:

Authorized Official
Title or Position	:	MANAGER CREDENTIALING/ENROLLMENT
Name	:	DANIELLE MARIE LOPEZ
Credential	:
Telephone Number	:	516-207-7936

Provider Enumeration Date	:	12/17/2021
Last Update Date	:	01/21/2025

Similar Medicare Providers

1902751365 — UNITY CARE CENTER LLC
Practice Location Address:

8956 TURKEY LAKE RD STE B-950
ORLANDO, FL
32819-7327

Practice Phone: 407-530-8744
Practice Fax: 407-210-5616

1821418864 — RACHAEL JONES ARNP
Practice Location Address:

8956 TURKEY LAKE RD
ORLANDO, FL
32819-7327

Practice Phone: 407-248-2440
Practice Fax:

1689207680 — KIMBERLY ANN BALLERINO APRN
Practice Location Address:

8956 TURKEY LAKE RD
ORLANDO, FL
32819-7327

Practice Phone: 407-774-3325
Practice Fax:

1558237214 — ELISANGELA SANTOS CORREA LEITE
Practice Location Address:

8956 TURKEY LAKE RD STE B950
ORLANDO, FL
32819-7327

Practice Phone: 407-530-8744
Practice Fax: 407-210-5616

1104333061 — THUC HOANG TRAN ARNP
Practice Location Address:

5601 PENDLETON DR
ORLANDO, FL
32839-7327

Practice Phone: 407-928-2229
Practice Fax:

1760629356 — VIRGINIA G ADAMS ARNP, CPNP
Practice Location Address:

8956 TURKEY LAKE RD
ORLANDO, FL
32819

Practice Phone: 407-774-3325
Practice Fax:

Directions to “NIGHT LITE PEDIATRIC CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.