Organization
EVENING PEDIATRICS, INC
Active
Organization
EVENING PEDIATRICS, INC
Active
Parent organization
EVENING PEDIATRICS, INC
Other names
Your Kids Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVENING PEDIATRICS, INC
Authorized official
KELLY MCPHAIL (ADMINISTRATOR)
(727) 586-6483
Entity
Organization
Contact information
Practice address
2550 W MLK BLVD, TAMPA, FL 33607-6302
(813) 876-6483
Mailing address
2115 CENTRAL AVE, ST PETERSBURG, FL 33713-8815
(727) 526-9135
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277728202
—
FL
Enumeration date
05/28/2021
Last updated
02/27/2024
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