PENINSULA PEDIATRICS – NPI #1639538713
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.

PENINSULA PEDIATRICS is a provider located in LARGO, FL. NPPES has assigned the NPI number 1639538713 to PENINSULA PEDIATRICS on February 17, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PENINSULA PEDIATRICS” is a dba name, the actual legal business name for this organization is PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Jun 05, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENINSULA PEDIATRICS below.

NPI Profile for
PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC

NPI Number
1639538713
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC
Doing Business As (dba): PENINSULA PEDIATRICS
Primary location
13163 66TH STREET
LARGO, FL 33773
Phone: (727) 228-7000 Fax: (727) 223-3614
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVEN MOORE
OWNER
Phone: (727) 228-7000
Updated
Certification Date
Jun 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PENINSULA PEDIATRICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL018367100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
FL ME 100692

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.