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

Kidsville Pediatrics I, PA

Organization Pediatrics Physician · NPI 1780658294

Kidsville Pediatrics I, PA is a Pediatrics Physician in Davenport, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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

2201 N Blvd W
Davenport, FL 33837-8990
Phone: (863) 419-0688
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 number1780658294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Pantoja Jr. — Administrator · (863) 419-0688
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address2201 North Blvd W, Davenport, FL 33837-8990

Other providers in Davenport