DAVENPORT PEDIATRICS P D – NPI #1205763158
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

DAVENPORT PEDIATRICS P D is a provider located in DANIA BEACH, FL. NPPES recently assigned the NPI number 1205763158 to DAVENPORT PEDIATRICS P D on May 05, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on May 25, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVENPORT PEDIATRICS P D below.

NPI Profile for
DAVENPORT PEDIATRICS P D

NPI Number
1205763158
Enumeration Date

(about a month ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAVENPORT PEDIATRICS P D
Primary location
113 SW 5TH CT
APT 1
DANIA BEACH, FL 33004-3589
Phone: (270) 807-8431 Fax:
Mailing address
113 SW 5TH CT,
APT 1
DANIA BEACH, FL 33004-3589
Phone: (270) 807-8431 Fax:
Organization Subpart
No
Authorized Official
MIN SOO JANG
OFFICE MANAGER
Phone: (270) 807-8431
Updated
Certification Date
May 25, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.