Organization
PEDIATRIC HEALTH CARE ALLIANCE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA S. GONZALEZ (CHIEF ADMINISTRATIVE OFFICER)
(813) 854-2003
Entity
Organization
Contact information
Practice address
720 BROOKER CREEK BLVD STE 215, OLDSMAR, FL 34677-2937
(813) 854-2003
(813) 436-5378
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
103K00000X
Behavior Analyst
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
01/31/2024
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