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

Florida Pediatric Group PA

Organization Pediatrics Physician · NPI 1396962734

Florida Pediatric Group PA is a Pediatrics Physician in W Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

250 S Wickham Rd
W Melbourne, FL 32904-1134
Phone: (321) 752-5210
Fax: (321) 752-5388
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME81059 (FL)

Record details

NPI number1396962734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dee Dee Schultz — Billing Department · (321) 752-5210
NPI enumeratedApril 19, 2007
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address250 S Wickham Rd, W Melbourne, FL 32904-1134