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

Family Tree Medical Group II, PA

Organization Pediatrics Physician · NPI 1720727654

Family Tree Medical Group II, PA is a Pediatrics Physician in Davenport, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2201 N Blvd W
Davenport, FL 33837-8990
Phone: (863) 353-1246
Fax: (863) 419-9547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1720727654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Pantoja — Buisness Owner · (407) 970-2981
NPI enumeratedMay 31, 2022
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing address2201 North Blvd W, Davenport, FL 33837-8990

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