Provider Demographics
NPI:1922696012
Name:DAYSPRING PEDIATRICS PLC
Entity Type:Organization
Organization Name:DAYSPRING PEDIATRICS PLC
Other - Org Name:FIREFLY PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:K
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-707-8700
Mailing Address - Street 1:3234 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-6116
Mailing Address - Country:US
Mailing Address - Phone:931-707-8700
Mailing Address - Fax:931-456-0802
Practice Address - Street 1:7693 RHEA COUNTY HWY STE 1
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-6083
Practice Address - Country:US
Practice Address - Phone:931-707-8700
Practice Address - Fax:931-456-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty