Organization
ADVANCED KIDS URGENT CARE PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNADETTE ANTONYRAJAH MD (DIRECTOR)
(419) 819-7137
Entity
Organization
Contact information
Practice address
98 TERRA MANGO LOOP, 12, ORLANDO, FL 32835-8515
(407) 612-4007
(407) 612-4017
Mailing address
98 TERRA MANGO LOOP STE 12, ORLANDO, FL 32835-8515
(407) 612-4007
(407) 612-4017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
113681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3108461
—
FL
Enumeration date
05/31/2018
Last updated
10/09/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us