NPIMap

Organization Active NPI

We Care Pediatric CC, PA

  • Primary Care Clinic/Center
  • Riverview, FL
National Provider Identifier
1003016858
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME79005 Issued in FL
Legal business name
WE CARE PEDIATRIC CC, PA
Practice address
9406 Balm Riverview Rd
Riverview, FL 33569-5116
Phone
(813) 236-9310
Fax
(813) 236-9311
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter Allen Kosoff, MDNPI 1063462794
Title
Owner
Phone
(813) 236-9310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME79005 FL Primary

Addresses

Primary practice location

9406 Balm Riverview Rd
Riverview, FL 33569-5116

Mailing address

PO Box 1885
Riverview, FL 33568-1885
Phone (813) 236-9310

Other identifiers 1

IdentifierTypeStateIssuer
ME79005OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

9406 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 236-9310

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1003016858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1885",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335681885",
            "telephone_number": "813-236-9310",
            "fax_number": "813-236-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 BALM RIVERVIEW RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695116",
            "telephone_number": "813-236-9310",
            "fax_number": "813-236-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE CARE PEDIATRIC CC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "KOSOFF",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-236-9310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME79005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME79005",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.