Organization
ALL PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIVA PRASANNA DEVANABOYENA (PRESIDENT)
(813) 333-9991
Entity
Organization
Contact information
Practice address
2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL 33544-7353
(813) 333-9991
(813) 466-7482
Mailing address
2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL 33544-7353
(813) 333-9991
(813) 466-7482
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME94439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518988823
SIVA P DEVANABOYENA INDIVIDUAL NPI
—
05
—
2741442300
—
FL
Enumeration date
11/24/2008
Last updated
11/24/2008
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