Provider Demographics
NPI:1649670100
Name:CANNIZZARO INTEGRATIVE PEDIATRIC CENTER
Entity type:Organization
Organization Name:CANNIZZARO INTEGRATIVE PEDIATRIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CONFUSIONE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-509-1092
Mailing Address - Street 1:357 WEKIVA SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-3607
Mailing Address - Country:US
Mailing Address - Phone:321-280-5867
Mailing Address - Fax:407-774-1877
Practice Address - Street 1:357 WEKIVA SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-3607
Practice Address - Country:US
Practice Address - Phone:321-280-5867
Practice Address - Fax:407-774-1877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty