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ST MARY FLORIDA PEDIATRIC CARE PLLC NPI 1770971541


NPI Information

NPI: 1770971541
Provider Name: ST MARY FLORIDA PEDIATRIC CARE PLLC

Doing Business As: ST MARY FLORIDA PEDIATRICS AND FAMILY CARE

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2094801

Address:
2626 TAMPA RD
STE 101
PALM HARBOR, FL
ZIP 34684
Phone: (727) 754-1984
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ST MARY FLORIDA PEDIATRIC CARE PLLC is a pediatrics in Palm Harbor, 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. ST MARY FLORIDA PEDIATRIC CARE PLLC NPI is 1770971541. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Mary Florida Pediatrics And Family Care.

The provider's business location address is:

2626 TAMPA RD
STE 101
PALM HARBOR, FL
ZIP 34684-155
Phone: (727) 754-1984
Fax: (757) 754-2868

The provider's authorized official is Magda F Salib .
The authorized official title is Md/owner and has the following contact phone number (727) 754-1984.

The CLIA number assigned to this NPI record is 10D2094801 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2015 and was last updated on 10/31/2016.


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
1207Q00000XFamily MedicineNo
2208000000XPediatricsYes

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: 11/14/2023

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