Florida Medical Practice Plan Inc
NPI 1629947346 · Pediatrics Physician · Tallahassee, FL
Provider details
- NPI number
- 1629947346
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Florida Medical Practice Plan Inc
- Organization subpart
- Yes
- Authorized official
- Patricia Ballantine, Head of Clinical Operations(850) 645-9451
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Genetic Counselor (M.S.)170300000X
Other Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2025-10-31
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.