Organization
FLORIDA PEDIATRIC ASSOCIATES, LLC
Active
Other names
Florida Pediatric Assoc Optical Orlando
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA A TATHAM (CREDENTIALING MANAGER)
(727) 456-4250
Entity
Organization
Contact information
Practice address
1781 PARK CENTER DR, SUITE 220, ORLANDO, FL 32835-6254
(407) 398-7730
(407) 398-7740
Mailing address
1800 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33704-4222
(727) 456-3288
(727) 456-3289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38313
MEDICARE PTAN
FL
Enumeration date
12/07/2010
Last updated
08/10/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up