| Organization Name: | PRINCIPAL PEDIATRIC GROUP LLC |
| NPI Number: | 1245621127 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AYODEJI B OTEGBEYE (PRESIDENT) |
| Mailing Address: | 5900 S John Young Pkwy Orlando |
| State: | FL US |
| Postal Code: | 328393716 |
| Phone Number: | 4073986470 |
| Fax Number: | 4078946872 |
| NPI Enumeration Date: | 02/12/2015 |
| NPI Last Update Date: | 02/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | ME58278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |