Provider Demographics
NPI:1598001273
Name:FALASCO PEDIATRICS
Entity type:Organization
Organization Name:FALASCO PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:FALASCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-704-8227
Mailing Address - Street 1:25 W KALEY ST
Mailing Address - Street 2:SUITE 300A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2939
Mailing Address - Country:US
Mailing Address - Phone:407-704-8227
Mailing Address - Fax:
Practice Address - Street 1:25 W KALEY ST
Practice Address - Street 2:SUITE 300A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2939
Practice Address - Country:US
Practice Address - Phone:407-704-8227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-27
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME43769208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty