# PALM HARBOR PEDIATRIC URGENT CARE CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720179120
- **Authorized official:** LUIS MARAMARA MD (PROVIDER/OWNER)
- **Authorized official phone:** (727) 787-5439

## Contact information

- **Practice address:** 36458 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1330
- **Practice address phone:** (727) 787-5439
- **Practice address fax:** (727) 787-6221
- **Mailing address:** PO BOX 23863, TAMPA, FL 33623-3863
- **Mailing address phone:** (727) 823-2188
- **Mailing address fax:** (727) 823-9502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 12/03/2008