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PEDIATRIC ASSOCIATES OF TAMPA BAY LLC NPI 1245855063


NPI Information

NPI: 1245855063
Provider Name: PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2215636

Address:
901 E BLOOMINGDALE AVE # 501
BRANDON, FL
ZIP 33511
Phone: (941) 909-7003
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PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC is a pediatrics in Brandon, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC NPI is 1245855063. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

901 E BLOOMINGDALE AVE # 501
BRANDON, FL
ZIP 33511-118
Phone: (941) 909-7003
Fax: (941) 209-6386

The provider's authorized official is Patricia Corsiatto .
The authorized official title is Director Credentialing and has the following contact phone number (954) 965-7331.

The CLIA number assigned to this NPI record is 10D2215636 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/9/2020 and was last updated on 6/9/2020.


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
1208000000XPediatricsYes

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: 11/14/2023

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