Doctor Bou Pediatrics Inc

LBN: Doctor Bou Pediatrics Inc
Doctor Bou Pediatrics Inc is an health care organization with primary practice located at 1507 W Reynolds St Ste A , Plant City FL 33563-4702. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Doctor Bou Pediatrics Inc can be contacted via phone (813) 719-3716, or through Bou-Gauthier, Salvador Angel via phone (813) 719-3716.

Contact Information

Primary practice address
1507 W Reynolds St Ste A Plant City FL 33563-4702
Phone: (813) 719-3716
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bou-Gauthier, Salvador Angel
Phone: (813) 719-3716

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1316116536
LBN Legal business name Doctor Bou Pediatrics Inc
DBA Doing business as
Authorized official Bou-Gauthier, Salvador Angel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2008
Last updated Apr 9th, 2018 - about 8 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 1316116536 NPPES
Florida MEDICAID 374065000

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