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Contact Information

PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC
13163 66TH STREET
LARGO, FL33773
 Phone: 727-228-7000
 Fax: 727-223-3614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC

NPI # 1639538713
LBN Legal business name PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC
Authorized official STEVEN MOORE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/17/2016
Last updated 06/05/2023 - About 3 years ago
Identifiers
FL License # ME 100692
FL Medicaid 018367100
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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