Organization
PEDIATRIC HEALTH CARE ALLIANCE, PA
Active
Parent organization
PEDIATRIC HEALTHCARE ALLIANCE, PA - SUNCOAST
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC HEALTHCARE ALLIANCE, PA - SUNCOAST
Authorized official
DEBRA S GONZALEZ (COO)
(813) 854-2003
Entity
Organization
Contact information
Practice address
1850 CROSSINGS BLVD UNIT 100, ODESSA, FL 33556-6106
(813) 475-7100
(813) 475-7119
Mailing address
720 BROOKER CREEK BLVD STE 215, OLDSMAR, FL 34677-2937
(813) 854-2003
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME65867
FL
Other
Enumeration date
02/28/2011
Last updated
08/10/2022
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