ABRAKIDABRA PEDIATRIC CLINIC, LLC – NPI #1366699944
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.

ABRAKIDABRA PEDIATRIC CLINIC, LLC is a provider located in SPRING HILL, FL. NPPES has assigned the NPI number 1366699944 to ABRAKIDABRA PEDIATRIC CLINIC, LLC on August 26, 2008. 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 previously updated about 2 years ago on Apr 04, 2024. 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 ABRAKIDABRA PEDIATRIC CLINIC, LLC below.

NPI Profile for
ABRAKIDABRA PEDIATRIC CLINIC, LLC

NPI Number
1366699944
Enumeration Date

(about 18 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
ABRAKIDABRA PEDIATRIC CLINIC, LLC
Primary location
8391 OMAHA CIR
SPRING HILL, FL 34606-5157
Phone: (352) 688-8818 Fax: (877) 487-5705
1 Other location(s):
6709 Ridge Rd Ste 302
Port Richey, FL 34668-6867
Phone: (727) 478-8876
Fax: (877) 487-5705
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HEATHER RIDDLE
PRESIDENT
Phone: (352) 688-8818
Updated
Certification Date
Apr 04, 2024

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.

Identifiers

Identifiers for ABRAKIDABRA PEDIATRIC CLINIC, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL002184400
medicaidFL306155800
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)
FL 9175935

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.