Organization
PEDIATRIC ASSOCIATES OF TAMPA BAY, INC
Active
Parent organization
PEDIATRIC ASSOCIATES HOLDING COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ASSOCIATES HOLDING COMPANY
Authorized official
DR. PETER J SHULMAN MD (PRESIDENT/CEO)
(954) 965-7322
Entity
Organization
Contact information
Practice address
11260 SULLIVAN STREET, RIVERVIEW, FL 33578
(813) 689-7571
(813) 654-8129
Mailing address
900 S PINE ISLAND RD, 800, PLANTATION, FL 33324-3920
(954) 967-6400
(954) 965-7339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008927600
—
FL
Enumeration date
06/05/2013
Last updated
08/25/2020
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