| Organization Name: | FLORIDA PEDIATRIC GROUP PA |
| NPI Number: | 1396962734 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BASIM D FARID (BILLING DEPARTMENT) |
| Mailing Address: | 240 N Wickham Rd Ste 102 Melbourne |
| State: | FL US |
| Postal Code: | 329358663 |
| Phone Number: | 3217525210 |
| Fax Number: | 3217525388 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 10/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | ME81059 |
| 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. |