Provider Demographics
NPI:1851536841
Name:LITTLE ANGELS PEDIATRICS
Entity Type:Organization
Organization Name:LITTLE ANGELS PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AKBAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-538-2971
Mailing Address - Street 1:1700 E IRLO BRONSON MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-5806
Mailing Address - Country:US
Mailing Address - Phone:407-538-2971
Mailing Address - Fax:407-344-0043
Practice Address - Street 1:1700 E IRLO BRONSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-5806
Practice Address - Country:US
Practice Address - Phone:407-538-2971
Practice Address - Fax:407-344-0043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0069091261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1235138850OtherPHYSICIAN NPI NUMBER
1235138850OtherPHYSICIAN NPI NUMBER