PM PEDIATRICS NPI 1356779250

NPI Information

NPI: 1356779250
Provider Name: PM PEDIATRICS
Classification: Pediatrics - 2080P0204X
Entity Type: Organization

Specialization: Pediatric Emergency Medicine

Address:
1338 W FLETCHER AVE
TAMPA, FL
ZIP 33612
Phone: (813) 264-2288
Get Directions

PM PEDIATRICS 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 PEDIATRICS NPI is 1356779250. 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) 264-2288
Fax: (813) 264-1677

The provider's authorized official is Michele Johnson .
The authorized official title is Owner/md and has the following contact phone number (813) 264-2288.

The enumeration date for this NPI number is 10/31/2013 and was last updated on 10/29/2015.

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
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	ME62751	FLORIDA	Yes

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
1	015478400	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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