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

Pediatrics & Family Medicine of Buena Vista , LLC

Organization Primary Care Clinic/Center · NPI 1053747188

Pediatrics & Family Medicine of Buena Vista , LLC is a Primary Care Clinic/Center in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10552 NW 13th Ave
Gainesville, FL 32606-8088
Phone: (678) 570-5063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence ME0072652 (FL)

Record details

NPI number1053747188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bilal Khodr — Medical Director · (352) 213-1243
NPI enumeratedSeptember 20, 2013
Last updated in NPPESSeptember 20, 2013
Mailing address519 Buena Vista St, Lakeland, FL 33805-4504

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