OrganizationActive
Advanced Kid'S Care
NPI 1396250098 · Pediatrics Physician · Orlando, FL
Provider details
- NPI number
- 1396250098
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bernadette Antonyrajah, Director(419) 819-7137
- License
- ME113681 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
98 Terra Mango Loop
Unit 12
Orlando, FL 32835
Phone: (419) 819-7137
Approximate (ZIP-level) locationGet directions
Mailing address
5049 Latrobe Dr
Windermere, FL 34786-8914
Registry dates
- Enumerated
- 2017-12-05
- Last updated
- 2017-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.