Coral Ridge Pediatrics Inc.
NPI 1366113961ActiveOrganization· Pediatrics· Fort Lauderdale, FL
Pediatrics in Fort Lauderdale, Florida, registered in NPPES in September 2021. The authorized official on file is Stephen Dietz, Office Manager.
Overview
| NPI | 1366113961 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2021 |
| Last updated in NPPES | Sep 23, 2021 |
| Certified by provider | Sep 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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