CORAL RIDGE PEDIATRICS INC. – NPI #1366113961
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.

CORAL RIDGE PEDIATRICS INC. is a provider located in FORT LAUDERDALE, FL. NPPES has assigned the NPI number 1366113961 to CORAL RIDGE PEDIATRICS INC. on September 23, 2021. 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.

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 CORAL RIDGE PEDIATRICS INC. below.

NPI Profile for
CORAL RIDGE PEDIATRICS INC.

NPI Number
1366113961
Enumeration Date

(more than 4 years 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
CORAL RIDGE PEDIATRICS INC.
Primary location
915 MIDDLE RIVER DR STE 209
FORT LAUDERDALE, FL 33304-3559
Phone: (954) 300-1736 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN DIETZ
OFFICE MANAGER
Phone: (212) 414-8297
Updated
Certification Date
Sep 23, 2021

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.