| Pediatric Health Care Alliance, Pa | |
|
720 Brooker Creek Blvd Ste 215 Oldsmar FL 34677-2937 | |
| (813) 854-2003 | |
| (813) 436-5378 |
| Full Name | Pediatric Health Care Alliance, Pa |
|---|---|
| Speciality | Pediatrics |
| Location | 720 Brooker Creek Blvd Ste 215, Oldsmar, Florida |
| Authorized Official Name and Position | Debra S. Gonzalez (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 8138542003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Health Care Alliance, Pa 720 Brooker Creek Blvd Ste 215 Oldsmar FL 34677-2937 Ph: (813) 854-2003 | Pediatric Health Care Alliance, Pa 720 Brooker Creek Blvd Ste 215 Oldsmar FL 34677-2937 Ph: (813) 854-2003 |
| NPI Number | 1609965441 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609965441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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