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

Progressive Pediatrics of Orlando PA

Organization Pediatrics Physician · NPI 1992730550

Progressive Pediatrics of Orlando PA provides Pediatrics Physician services in Longwood, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

521 W State Road 434 Ste 101
Longwood, FL 32750 Not confirmed with CMS for 18 years — call before visiting
Phone: (407) 830-5437
Fax: (407) 834-4907
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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 ME54968 (FL)

Record details

NPI number1992730550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfonso Mireles — Owner · (407) 830-5437
NPI enumeratedJuly 12, 2006
Last updated in NPPESMay 14, 2008
Mailing addressPo Box 520879, Longwood, FL 32752-0879

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