Pediatric Care Center Rainbow Pediatrics

LBN: Pelaez And Montane Pa
Pediatric Care Center Rainbow Pediatrics is an health care organization with primary practice located at 1383 Providence Rd Suite 102, Brandon FL 33511-4885. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pelaez And Montane Pa can be contacted via phone (813) 681-5714, or through Pelaez, Robert N via phone (813) 681-5714.

Contact Information

Primary practice address
1383 Providence Rd Suite 102 Brandon FL 33511-4885
Fax: (813) 689-9557
Website:
Authorized official contact:
Name: Pelaez, Robert N Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME39365 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME52110 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME71781 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME58346 Florida

Profile Details

NPI number 1821025073
LBN Legal business name Pelaez And Montane Pa
DBA Doing business as Pediatric Care Center Rainbow Pediatrics
Authorized official Pelaez, Robert N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 18th, 2011 - about 15 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 1821025073 NPPES
Florida MEDICAID 036958600

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