PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC – NPI #1912345497
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.

PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC is a provider located in TRINITY, FL. NPPES has assigned the NPI number 1912345497 to PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC on June 06, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 25, 2020. 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 PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC below.

NPI Profile for
PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC

NPI Number
1912345497
Enumeration Date

(more than 13 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
PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC
Primary location
10710 STATE ROAD 54 STE 108
TRINITY, FL 34655-2263
Phone: (727) 376-4040 Fax: (727) 376-8824
Mailing address
900 S PINE ISLAND RD
800
PLANTATION, FL 33324-3920
Phone: (954) 967-6400 Fax: (954) 965-7339
Organization Subpart
Yes - PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC is subpart of another organization.
Authorized Official
PETER SHULMAN
CEO
Phone: (954) 965-7322
Updated
Certification Date
Aug 25, 2020

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 PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC

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
MEDICAIDFL008927601
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)

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.