Organization
PEDIATRIC HEALTH CARE ALLIANCE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA S GONZALEZ (COO)
(813) 854-2003
Entity
Organization
Contact information
Practice address
116 HARBOR VILLAGE LN, APOLLO BEACH, FL 33572-3402
(813) 493-1779
(813) 641-3821
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
—
—
Other
Enumeration date
08/20/2021
Last updated
08/10/2022
Update your record
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