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

Kidsville Pediatrics III, PA

Organization Pediatrics Physician · NPI 1215901723

Kidsville Pediatrics III, PA is a Pediatrics Physician in Clermont, 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

1804 Oakley Seaver Blvd Suite-C
Clermont, FL 34711-1925
Phone: (352) 242-1021
Fax: (352) 242-1104
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 number1215901723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Pantoja Jr. — Administrator · (352) 242-1021
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address1804 Oakley Seaver Blvd, Suite-C, Clermont, FL 34711-1925

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