Central Florida Pediatric
Pediatrics, Pediatric Cardiology in Orlando, FL. Organization (NPI-2).
NPI number1295308385
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1295308385
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Florida Pediatric
- Organization subpart
- No
- Enumeration date
- Jul 19, 2021
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
1222 S Orange AveOrlando, FL 32806-1215
Phone 352-328-6127
Mailing address
12386 State Road 535 # 422Orlando, FL 32836-6701
Phone 352-328-6127
Authorized official
Faris Mahmoud Al-Mousily
Administrator
3523286127
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