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Contact Information

BLOOMINGDALE PEDIATRIC ASS PA
4316 BELL SHOALS RD
VALRICO, FL33594
 Phone: 813-684-1881
 Fax: 813-685-0471
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BLOOMINGDALE PEDIATRIC ASS PA

NPI # 1376617043
LBN Legal business name BLOOMINGDALE PEDIATRIC ASS PA
Authorized official SONIA RUIZ - (PEDIATRICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # ME45712
Other 26208721 AETNA
Other 208721 AMERIGROUP
Other 62614 BCBS
Other 00559 HEAHCASE
Other 00559 STAYWELL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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