Pediatric Health Choice

LBN: Pediatric Health Choice
Pediatric Health Choice is an health care organization with primary practice located at 3110 75Th St N , St Petersburg FL 33710-2326. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Pediatric Health Choice can be contacted via phone (727) 347-0010, or through Fraze, Deborah via phone (813) 880-0320.

Contact Information

Primary practice address
3110 75Th St N St Petersburg FL 33710-2326
Phone: (727) 347-0010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fraze, Deborah
Phone: (813) 880-0320

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1487051306
LBN Legal business name Pediatric Health Choice
DBA Doing business as
Authorized official Fraze, Deborah
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 20th, 2014
Last updated Mar 28th, 2022 - about 4 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 1487051306 NPPES
Florida MEDICAID 882377400

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