COUNTRYSIDE PEDIATRIC CARE P.A. NPI 1518370345

NPI Information

  • NPI: 1518370345
  • Provider Name: COUNTRYSIDE PEDIATRIC CARE, P.A.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 10D2082716
  • Address: 2531 LANDMARK DR STE 103
    CLEARWATER, FL
    ZIP 33761
  • Phone: (727) 599-0893

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NPI Details

COUNTRYSIDE PEDIATRIC CARE, P.A. is a pediatrics in Clearwater, 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. COUNTRYSIDE PEDIATRIC CARE, P.A. NPI is 1518370345. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2531 LANDMARK DR STE 103
CLEARWATER, FL
ZIP 33761-928
Phone: (727) 599-0893
Fax: (727) 674-2965

The provider's authorized official is Monica Kharbanda .
The authorized official title is President and has the following contact phone number (727) 599-0893.

The CLIA number assigned to this NPI record is 10D2082716 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2014 and was last updated on 7/11/2024.

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
1208000000XPediatricsME 92529FLORIDAYes

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: 3/30/2025

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