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PEDIATRIC HEALTH CARE ALLIANCE PA NPI 1508532540


NPI Information

NPI: 1508532540
Provider Name: PEDIATRIC HEALTH CARE ALLIANCE, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0290737

Address:
4446 E FLETCHER AVE STE A
TAMPA, FL
ZIP 33613
Phone: (813) 971-6700
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PEDIATRIC HEALTH CARE ALLIANCE, PA is a pediatrics in Tampa, 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 HEALTH CARE ALLIANCE, PA NPI is 1508532540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4446 E FLETCHER AVE STE A
TAMPA, FL
ZIP 33613-942
Phone: (813) 971-6700
Fax: (813) 977-1352

The provider's authorized official is Debra S Gonzalez .
The authorized official title is Coo and has the following contact phone number (813) 854-2003.

The CLIA number assigned to this NPI record is 10D0290737 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2021 and was last updated on 8/10/2022.


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: 4/28/2024

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