Provider Demographics
NPI:1114975133
Name:PEDIATRICIANS CARE UNIT
Entity Type:Organization
Organization Name:PEDIATRICIANS CARE UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CANNIZZARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-862-1163
Mailing Address - Street 1:357 WEKIVA SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779
Mailing Address - Country:US
Mailing Address - Phone:407-862-1163
Mailing Address - Fax:407-774-1877
Practice Address - Street 1:357 WEKIVA SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779
Practice Address - Country:US
Practice Address - Phone:407-862-1163
Practice Address - Fax:407-774-1877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty