National Provider Identifier Database

PRO STAR PEDIATRICS
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

PRO STAR PEDIATRICS
8701 MAITLAND SUMMIT BLVD
ORLANDO, FL32810-5915
Phone: 407-916-4522
Fax: 407-916-4525
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PRO STAR PEDIATRICS

NPI Number 1972679223
Legal business name
LBN
PRO STAR PEDIATRICS
Authorized official ALBERTO COBIAN - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/28/2006
Last updated 02/20/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME0036554
  • FL Medicaid: 003657000
  • FL Medicaid: 041847101
  • FL Medicaid: 269488300

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PRO STAR PEDIATRICS

There are currently no reviews for PRO STAR PEDIATRICS


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