Organization Active NPI

Panda Care Pediatrics, L.L.C.

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1033576756
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PANDA CARE PEDIATRICS, L.L.C.
Practice address
12179 W Linebaugh Ave
Tampa, FL 33626-1732
Phone
(813) 855-3535
Fax
(813) 855-3308
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Dr. Rita Torres-de Carlo, M.D., F.A.A.P.NPI 1740396795
Title
Manager
Phone
(813) 855-3535

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 Primary

Addresses

Primary practice location

12179 W Linebaugh Ave
Tampa, FL 33626-1732

Mailing address

12179 W Linebaugh Ave
Tampa, FL 33626-1732
Phone (813) 855-3535

National Provider Directory

National Provider Directory

Locations

12179 W Linebaugh Ave
Tampa, FL 33626
Phone (813) 855-3535

Practitioners & affiliated clinicians

Practitioners 1

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": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1033576756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12179 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261732",
            "telephone_number": "813-855-3535",
            "fax_number": "813-855-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12179 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261732",
            "telephone_number": "813-855-3535",
            "fax_number": "813-855-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDA CARE PEDIATRICS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "TORRES-DE CARLO",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-855-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.A.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.