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PLANT CITY PEDIATRICS PA NPI 1376609891


NPI Information

NPI: 1376609891
Provider Name: PLANT CITY PEDIATRICS, PA

Former Legal Business Name: TIMOTHY WILLIAMS PEDIATRICS OF BRANDON

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D1004607

Address:
2370 WALDEN WOODS DR
SUITE A
PLANT CITY, FL
ZIP 33563
Phone: (813) 659-9800
Get Directions

PLANT CITY PEDIATRICS, PA is a pediatrics in Plant City, 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. PLANT CITY PEDIATRICS, PA NPI is 1376609891. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Timothy Williams Pediatrics Of Brandon.

The provider's business location address is:

2370 WALDEN WOODS DR
SUITE A
PLANT CITY, FL
ZIP 33563-027
Phone: (813) 659-9800
Fax: (813) 659-9807

The provider's authorized official is Mary C Kifer .
The authorized official title is Practice Administrator and has the following contact phone number (813) 659-9800.

The CLIA number assigned to this NPI record is 10D1004607 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 10/15/2015.


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
1208000000XPediatricsOS7802FLORIDAYes

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
11821065061MEDICAIDFLORIDA
21851713952MEDICAIDFLORIDA
31275706160MEDICAIDFLORIDA
41649248956OTHERFLORIDAPLANT CITY PEDIATRICS
51609809987OTHERFLORIDANPI
61154340115OTHERFLORIDANPI
71215909262OTHERFLORIDANPI
81376609891MEDICAIDFLORIDA

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

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