MEDICARE: GROWING TOGETHER 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

General Provider Information

NPI Number	:	1427868355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWING TOGETHER PEDIATRICS, LLC

Provider Business Mailing Address
First Line	:	5164 CONWAY RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-1252
Country	:	US
Telephone Number	:	407-770-1414
Fax Number	:	407-447-8876

Provider Business Practice Location Address
First Line	:	1171 CLIFF ROSE DR
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-2808
Country	:	US
Telephone Number	:	407-770-1414
Fax Number	:	407-447-8876

Authorized Official
Title or Position	:	CEO
Name	:	ALAN JAMES MCHAFFIE
Credential	:
Telephone Number	:	407-770-1414

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	01/13/2025

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Directions to “GROWING TOGETHER PEDIATRICS, LLC ” Practice Location

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