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PM PEDIATRIC PLACE MD PA NPI 1023334844


NPI Information

NPI: 1023334844
Provider Name: PM PEDIATRIC PLACE, MD PA
Classification: Pediatrics - 2080P0204X
Entity Type: Organization

Specialization: Pediatric Emergency Medicine

Address:
1338 W FLETCHER AVE
TAMPA, FL
ZIP 33612
Phone: (813) 265-8940
Get Directions

PM PEDIATRIC PLACE, MD PA is a pediatric emergency medicine pediatrics in Tampa, FL. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. PM PEDIATRIC PLACE, MD PA NPI is 1023334844. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1338 W FLETCHER AVE
TAMPA, FL
ZIP 33612-366
Phone: (813) 265-8940
Fax: (813) 264-1677

The provider's authorized official is Michelle Johnsons .
The authorized official title is Medical Director and has the following contact phone number (813) 264-2288.

The enumeration date for this NPI number is 4/19/2010 and was last updated on 4/19/2010.


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
12080P0204XPediatricsPediatric Emergency MedicineME62751FLORIDAYes

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

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