National Provider Identifier Database

BLOOMINGDALE PEDIATRIC ASS PA
Pediatrics

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.


Contact Information

BLOOMINGDALE PEDIATRIC ASS PA
4316 BELL SHOALS RD
VALRICO, FL33594
Phone: 813-684-1881
Fax: 813-685-0471
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for BLOOMINGDALE PEDIATRIC ASS PA

NPI Number 1376617043
Legal business name
LBN
BLOOMINGDALE PEDIATRIC ASS PA
Authorized official SONIA RUIZ - (PEDIATRICIAN)
Entity Organization
Organization subpart No
Enumeration date 11/17/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME45712
  • Other: 26208721 AETNA
  • Other: 208721 AMERIGROUP
  • Other: 62614 BCBS
  • Other: 00559 HEAHCASE
  • Other: 00559 STAYWELL

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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