Provider Type Icon

EVENING PEDIATRICS INC NPI 1275109480


NPI Information

NPI: 1275109480
Provider Name: EVENING PEDIATRICS, INC

Doing Business As: YOUR KIDS URGENT CARE

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

CLIA Number: 10D2023459

Address:
12190 SEMINOLE BLVD
LARGO, FL
ZIP 33778
Phone: (727) 586-6483
Get Directions

EVENING PEDIATRICS, INC is a clinic center in Largo, 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 1275109480. 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:

12190 SEMINOLE BLVD
LARGO, FL
ZIP 33778-833
Phone: (727) 586-6483

The provider's authorized official is Kelly Mcphail .
The authorized official title is Administrator and has the following contact phone number (727) 586-6483.

The CLIA number assigned to this NPI record is 10D2023459 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2021 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1277728204MEDICAIDFLORIDA

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: 5/5/2024

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.