St. Thomas Pediatric Associate

LBN: Ag Pediatrics, Llc
St. Thomas Pediatric Associate is an health care organization with primary practice located at 7645 Cita Ln Unit 102 , New Port Richey FL 34653-6220. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Ag Pediatrics, Llc can be contacted via phone (727) 261-6464, or through Awad, Reda via phone (727) 261-6464.

Contact Information

Primary practice address
7645 Cita Ln Unit 102 New Port Richey FL 34653-6220
Phone: (727) 261-6464
Fax: (727) 261-6458
Website:
Map and Directions
Authorized official contact:
Name: Awad, Reda Doctor of Medicine (MD)
Phone: (727) 261-6464

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME110635 Florida

Profile Details

NPI number 1891201919
LBN Legal business name Ag Pediatrics, Llc
DBA Doing business as St. Thomas Pediatric Associate
Authorized official Awad, Reda Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2017
Last updated Dec 27th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891201919 NPPES
Florida MEDICAID 010501900

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