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

Kidsville Pediatrics IV, PA

Organization Pediatrics Physician · NPI 1508955212

Kidsville Pediatrics IV, PA is a Pediatrics Physician in Orlando, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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

11886 Lake Underhill Rd
Orlando, FL 32825-4436
Phone: (407) 447-7773
Fax: (407) 447-7804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11886 Lake Underhill Rd, Orlando, FL 32825-4436 — (407) 447-7773
  • 12315 Lake Underhill Rd, Orlando, FL 32828-4507 — (407) 447-7773

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME-0074421 (FL)

Record details

NPI number1508955212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Francelis Gonzalez — Ceo · (407) 447-7773
NPI enumeratedOctober 12, 2006
Last updated in NPPESAugust 13, 2019
Mailing address11886 Lake Underhill Rd, Orlando, FL 32825-4436

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