OrganizationActive
Personalized Pediatrics LLC
NPI 1215329313 · Pediatrics Physician · Coral Springs, FL
Provider details
- NPI number
- 1215329313
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edna Tello, Owner/Founder(954) 632-2791
- License
- ME80694 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12621 Nw 8th Ct
Coral Springs, FL 33071-4425
Phone: (954) 632-2791
Fax: (954) 752-7845
Street-level locationGet directions
Mailing address
1440 Coral Ridge Dr # 121
Coral Springs, FL 33071-5433
Registry dates
- Enumerated
- 2015-02-26
- Last updated
- 2015-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.