Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athletamd LLC

Organization Pediatrics Physician · NPI 1861078032

Athletamd LLC is a Pediatrics Physician in Coral Springs, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12621 NW 8th Ct
Coral Springs, FL 33071
Phone: (954) 543-1760
Fax: (954) 752-7845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1861078032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edna Tello — Md / Owner · (954) 632-2791
NPI enumeratedMarch 19, 2021
Last updated in NPPESMarch 19, 2021
Certification dateFebruary 17, 2021
Mailing address1440 Coral Ridge Dr, 121, Coral Springs, FL 33071

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