Organization
PEDIATRIC PARTNERS OF ZEPHYRHILLS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN R LIN M.D. (PRESIDENT/OWNER)
(813) 782-6064
Entity
Organization
Contact information
Practice address
6748 GALL BLVD, SUITE 150, ZEPHYRHILLS, FL 33542
(813) 782-6064
(813) 782-0984
Mailing address
PO BOX 2266, ZEPHYRHILLS, FL 33539-2266
(813) 782-6064
(813) 782-0984
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45447
BCBS GROUP ID #
FL
01
—
E513
AVMED GROUP ID#
FL
01
—
V0014001
CITRUS MEDICAID GROUP ID#
FL
Enumeration date
10/02/2006
Last updated
08/22/2020
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