Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Childrens Clinic of Pensacola PA

Organization Pediatrics Physician · NPI 1023256476

Childrens Clinic of Pensacola PA provides Pediatrics Physician services in Pensacola, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4220 N Davis Hwy Ste 200
Pensacola, FL 32503-2721 Not confirmed with CMS for 17 years — call before visiting
Phone: (850) 477-5475
Fax: (850) 477-8186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME89920 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME87962 (FL)

Record details

NPI number1023256476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mylene Victoriano — President · (850) 477-5475
NPI enumeratedJanuary 22, 2009
Last updated in NPPESJanuary 22, 2009
Mailing address4220 N Davis Hwy Ste 200, Pensacola, FL 32503-2721

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