OrganizationActive
Aqua Blue Pediatrics PLLC
NPI 1619829900 · Pediatrics Physician · Ormond Beach, FL
Aqua Blue Pediatrics PLLC is a Pediatrics Physician organization in Ormond Beach, FL (NPI 1619829900).
Provider details
- NPI number
- 1619829900
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandon Betancourt, Practice Administrator(847) 854-9402
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
785 W Granada Blvd Ste 4
Ormond Beach, FL 32174-5163
Phone: (630) 464-4928
Street-level locationGet directions
Mailing address
7901 4th St N # 30729
St Petersburg, FL 33702-4305
Registry dates
- Enumerated
- 2026-02-10
- Last updated
- 2026-02-10
- Certified
- 2026-02-10
Frequently asked questions
- What is Aqua Blue Pediatrics PLLC's NPI number?
- Aqua Blue Pediatrics PLLC's National Provider Identifier (NPI) is 1619829900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aqua Blue Pediatrics PLLC?
- Aqua Blue Pediatrics PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Aqua Blue Pediatrics PLLC located?
- Aqua Blue Pediatrics PLLC's practice location on file with NPPES is 785 W Granada Blvd Ste 4, Ormond Beach, FL 32174-5163.
- What is Aqua Blue Pediatrics PLLC's phone number?
- The practice phone number listed in the NPPES registry for Aqua Blue Pediatrics PLLC is (630) 464-4928.
- Who is the authorized official for Aqua Blue Pediatrics PLLC?
- The authorized official listed on Aqua Blue Pediatrics PLLC's NPPES record is Brandon Betancourt, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aqua Blue Pediatrics PLLC's NPI active?
- Yes — Aqua Blue Pediatrics PLLC's NPI (1619829900) is active in the NPPES registry as of the last update on 2026-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.