OrganizationActive
Kidsville Pediatrics IV, P.A.
NPI 1508955212 · Pediatrics Physician · Orlando, FL
Kidsville Pediatrics IV, P.A. is a Pediatrics Physician organization in Orlando, FL (NPI 1508955212).
Provider details
- NPI number
- 1508955212
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Francelis Gonzalez, Ceo(407) 447-7773
- License
- ME-0074421 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(99/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
11886 Lake Underhill Rd
Orlando, FL 32825-4436
Phone: (407) 447-7773
Fax: (407) 447-7804
Street-level locationGet directions
Mailing address
11886 Lake Underhill Rd
Orlando, FL 32825-4436
Additional practice locations (2)
- 12315 Lake Underhill RdSuite-BOrlando, FL 32828-4507Phone: (407) 447-7773
- 11886 Lake Underhill RdOrlando, FL 32825-4436Phone: (407) 447-7773Fax: (407) 447-7804
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2019-08-13
Frequently asked questions
- What is Kidsville Pediatrics IV, P.A.'s NPI number?
- Kidsville Pediatrics IV, P.A.'s National Provider Identifier (NPI) is 1508955212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kidsville Pediatrics IV, P.A.?
- Kidsville Pediatrics IV, P.A. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kidsville Pediatrics IV, P.A. located?
- Kidsville Pediatrics IV, P.A.'s practice location on file with NPPES is 11886 Lake Underhill Rd, Orlando, FL 32825-4436.
- What is Kidsville Pediatrics IV, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Kidsville Pediatrics IV, P.A. is (407) 447-7773.
- Who is the authorized official for Kidsville Pediatrics IV, P.A.?
- The authorized official listed on Kidsville Pediatrics IV, P.A.'s NPPES record is Francelis Gonzalez, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kidsville Pediatrics IV, P.A.'s NPI active?
- Yes — Kidsville Pediatrics IV, P.A.'s NPI (1508955212) is active in the NPPES registry as of the last update on 2019-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.