Provider Demographics
NPI:1740232123
Name:ALL ABOUT KIDS PEDIATRICS
Entity Type:Organization
Organization Name:ALL ABOUT KIDS PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:A.J.
Authorized Official - Middle Name:
Authorized Official - Last Name:MCHAFFIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-354-0717
Mailing Address - Street 1:8500 COMMODITY CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9001
Mailing Address - Country:US
Mailing Address - Phone:407-354-0717
Mailing Address - Fax:
Practice Address - Street 1:8961 CONROY WINDERMERE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3127
Practice Address - Country:US
Practice Address - Phone:407-354-0717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME46892173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty