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EVENING PEDIATRICS INC NPI 1891833554


NPI Information

NPI: 1891833554
Provider Name: EVENING PEDIATRICS, INC

Doing Business As: YOUR KIDS URGENT CARE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D1077307

Address:
4040 49TH ST N
ST PETERSBURG, FL
ZIP 33709
Phone: (727) 526-6483
Get Directions

EVENING PEDIATRICS, INC is a clinic center in St Petersburg, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EVENING PEDIATRICS, INC NPI is 1891833554. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Your Kids Urgent Care.

The provider's business location address is:

4040 49TH ST N
ST PETERSBURG, FL
ZIP 33709-734
Phone: (727) 526-6483
Fax: (727) 526-4346

The provider's authorized official is Michael Cibran .
The authorized official title is President and has the following contact phone number (727) 526-6483.

The CLIA number assigned to this NPI record is 10D1077307 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 2/27/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2261QU0200XClinic/CenterUrgent CareNo
3261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1277728200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.