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

Ocoee Pediatrics of Cleveland, PC

Organization Specialist · NPI 1174911838

Ocoee Pediatrics of Cleveland, PC provides Specialist services in Cleveland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2015.

Licensed in
TN
In the registry since
2015
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2825 Westside Dr NW Ste C
Cleveland, TN 37312-3504 Not confirmed with CMS for 11 years — call before visiting
Phone: (423) 614-3733
Fax: (423) 614-3738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17785 (TN)
Specialist Taxonomy 174400000X · Licence 021336 (TN)

Record details

NPI number1174911838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Defriece — Billing Supervisor · (423) 339-2320
NPI enumeratedJanuary 5, 2015
Last updated in NPPESJanuary 5, 2015
Mailing address2825 Westside Dr Nw, Suite C, Cleveland, TN 37312-3504

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