Organization
PEDIATRIC PHYSICIAN SERVICES, INC.
Active
Parent organization
59-0683252
Other names
All Children's Specialty Physicians, JHACH Pediatric Physician Services Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
59-0683252
Authorized official
KRISTY ALICIA SCHULHOF (PRESIDENT)
(727) 898-7451
Entity
Organization
Contact information
Practice address
3440 W MLK BLVD, TAMPA, FL 33607-6223
(813) 910-5140
(813) 350-0132
Mailing address
601 5TH ST S DEPT 6941, ST PETERSBURG, FL 33701-4804
(727) 767-4429
(727) 767-4970
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2278P3900X
Neonatal/Pediatric Certified Respiratory Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/18/2022
Last updated
04/21/2022
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