Provider Demographics
NPI:1427868355
Name:GROWING TOGETHER PEDIATRICS, LLC
Entity type:Organization
Organization Name:GROWING TOGETHER PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MCHAFFIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-770-1414
Mailing Address - Street 1:5164 CONWAY RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-1252
Mailing Address - Country:US
Mailing Address - Phone:407-770-1414
Mailing Address - Fax:407-447-8876
Practice Address - Street 1:1171 CLIFF ROSE DR
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2808
Practice Address - Country:US
Practice Address - Phone:407-770-1414
Practice Address - Fax:407-447-8876
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GROWING TOGETHER PEDIATRICS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty