Organization
TARPON SPRINGS PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A HIDALGO M.D. (OWNER)
(727) 772-5982
Entity
Organization
Contact information
Practice address
1007 E BOYER ST, TARPON SPRINGS, FL 34689-5501
(727) 772-5982
(727) 772-0693
Mailing address
1007 E BOYER ST, TARPON SPRINGS, FL 34689-5501
(727) 772-5982
(727) 772-0693
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0055862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260930400
—
FL
Enumeration date
02/03/2017
Last updated
02/03/2017
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