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Organization

TAMPA BAY PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS M CARTAYA MD (OWNER)
(813) 743-7879
Entity
Organization

Contact information

Practice address
2302 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6406
(813) 743-7879
(813) 926-5358
Mailing address
PO BOX 152682, TAMPA, FL 33684-2682
(813) 743-7879
(813) 926-5358

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME84690
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03286
BCBS
FL
01
284838
AVMED
FL
01
4137152
CIGNA
FL
01
7189416
AETNA
FL
Enumeration date
07/09/2008
Last updated
03/07/2023
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