NIGHT OWL PEDIATRICS PA NPI 1790973394

NPI Information

NIGHT OWL PEDIATRICS PA 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. NIGHT OWL PEDIATRICS PA NPI is 1790973394. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Night Owl Family Urgent Care.

The provider's business location address is:

10359 CROSS CREEK BLVD
SUITE CD
TAMPA, FL
ZIP 33647-772
Phone: (813) 994-0044
Fax: (813) 994-0055

The provider's authorized official is Ashraf Ads .
The authorized official title is Provider / Owner and has the following contact phone number (734) 306-2518.

The CLIA number assigned to this NPI record is 10D1049124 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 3/11/2023.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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