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Contact Information

PEDIATRIC ASSOCIATES OF TAMPA BAY, INC
11260 SULLIVAN STREET
RIVERVIEW, FL33578
 Phone: 813-689-7571
 Fax: 813-654-8129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC ASSOCIATES OF TAMPA BAY INC · (Female)

NPI # 1649618299
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2013
Last updated 08/25/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 008927600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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