Sunstate Pediatrics

Pediatrics Physician · Lake Mary, FL

Organization Active NPI

NPI number 1902067879

Practice location

758 N Sun Dr Ste 108
Lake Mary, FL 32746-2599
Phone
(407) 333-2809
Fax
(407) 333-2870

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NPI record

NPI
1902067879
Entity type
Organization (Type 2)
Enumeration date
June 23, 2008
Last updated
June 23, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X — —

Authorized official

Name
Dr. Ehteram Raissi-Fard, MD
Title
President
Phone
(407) 333-2809

About Sunstate Pediatrics

Sunstate Pediatrics is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 758 N Sun Dr Ste 108, Lake Mary, FL 32746-2599. The NPI number 1902067879 was assigned on June 23, 2008 and the record was last updated on June 23, 2008.

The authorized official for this organization is Dr. Ehteram Raissi-Fard, MD, President.

Frequently asked questions

What is the NPI number of Sunstate Pediatrics?

The NPI number is 1902067879.

What is the phone number of Sunstate Pediatrics?

The phone number listed for the practice location is (407) 333-2809.

Where is Sunstate Pediatrics located?

758 N Sun Dr Ste 108, Lake Mary, FL 32746-2599.

What is the taxonomy code for Sunstate Pediatrics?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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