Provider Demographics
NPI:1366871071
Name:WATCH ME GROW PEDIATRICS, LLC
Entity type:Organization
Organization Name:WATCH ME GROW PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MRANALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWARDEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:407-677-4769
Mailing Address - Street 1:8115 CRUSHED PEPPER AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-2319
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3586 ALOMA AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4010
Practice Address - Country:US
Practice Address - Phone:407-677-4769
Practice Address - Fax:407-677-4775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-03
Last Update Date:2013-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9823208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty