Organization
PRESCRIBED PEDIATRIC EXTENDED CARE, INC
Active
Other names
Pediatric Health Choice
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI TOSTI (VP FINANCE)
(813) 880-0320
Entity
Organization
Contact information
Practice address
2355 DRUSILLA LN, BATON ROUGE, LA 70809-1443
(225) 231-5880
Mailing address
8509 BENJAMIN ROAD, SUITE A D, TAMPA, FL 33634-1224
(813) 880-0220
(813) 880-0221
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
6003096
FL
261QM3000X
Medically Fragile Infants and Children Day Care
6006096
FL
261QM3000X
Medically Fragile Infants and Children Day Care
60080962
FL
261QM3000X
Medically Fragile Infants and Children Day Care
60080966
FL
261QM3000X
Medically Fragile Infants and Children Day Care
60080968
FL
261QM3000X
Medically Fragile Infants and Children Day Care
60080972
FL
261QM3000X
Medically Fragile Infants and Children Day Care
60080977
FL
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
60080982
FL
261QM3000X
Medically Fragile Infants and Children Day Care
6009096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240005700
—
FL
05
—
240012000
—
FL
05
—
300003600
—
FL
05
—
300003603
—
FL
05
—
300003604
—
FL
05
—
300003605
—
FL
05
—
300003606
—
FL
05
—
300047800
—
FL
05
—
300256000
—
FL
05
—
300256001
—
FL
05
—
650311001
—
FL
05
—
880567900
—
FL
05
—
880567901
—
FL
05
—
880567902
—
FL
05
—
880567903
—
FL
05
—
880567904
—
FL
05
—
880567905
—
FL
05
—
880567906
—
FL
05
—
880567907
—
FL
05
—
882377400
—
FL
Enumeration date
03/14/2007
Last updated
03/15/2024
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