Organization
PEDIATRIC HEALTH CARE ALLIANCE, PA
Active
Parent organization
PEDIATRIC HEALTH CARE ALLIANCE, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC HEALTH CARE ALLIANCE, PA
Authorized official
DEBRA S GONZALEZ (COO)
(813) 854-2003
Entity
Organization
Contact information
Practice address
5621 SKYTOP DR, LITHIA, FL 33547-4165
(813) 571-6800
(813) 654-9939
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
208000000X
Pediatrics Physician
Primary
ME70581
FL
Other
Enumeration date
02/28/2011
Last updated
08/10/2022
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