Provider Demographics
NPI:1740506955
Name:LITTLE ONES PEDIATRICS, P.A.
Entity type:Organization
Organization Name:LITTLE ONES PEDIATRICS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL PROVIDER AND CLINIC OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TUONG QUY
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-228-2126
Mailing Address - Street 1:810 E. COLONIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4606
Mailing Address - Country:US
Mailing Address - Phone:407-228-2126
Mailing Address - Fax:407-228-2273
Practice Address - Street 1:810 E. COLONIAL DRIVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4606
Practice Address - Country:US
Practice Address - Phone:407-228-2126
Practice Address - Fax:407-228-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-13
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99592208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL279546900Medicaid