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

Ocoee Pediatrics of Cleveland, PC

Organization Specialist · NPI 1174911838

Ocoee Pediatrics of Cleveland, PC is a Specialist in Cleveland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2015.

Licensed in
TN
In the registry since
2015
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2825 Westside Dr NW Ste C
Cleveland, TN 37312-3504
Phone: (423) 614-3733
Fax: (423) 614-3738
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17785 (TN)
Specialist Taxonomy 174400000X · Licence 021336 (TN)

Record details

NPI number1174911838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Defriece — Billing Supervisor · (423) 339-2320
NPI enumeratedJanuary 5, 2015
Last updated in NPPESJanuary 5, 2015
Mailing address2825 Westside Dr Nw, Suite C, Cleveland, TN 37312-3504

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