Organization Active NPI

Tampa Children'S ENT P.L.

  • Pediatric Otolaryngology Physician
  • Tampa, FL
National Provider Identifier
1053229674
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
Legal business name
TAMPA CHILDREN'S ENT P.L.
Practice address
2814 West Virginia Ave
Tampa, FL 33607
Phone
(813) 533-1710
Fax
(813) 262-1335
NPI assigned
Sep 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Kristine Brentz, M.D.
Title
Owner-Partner
Phone
(813) 533-1710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YP0228X Primary

Addresses

Primary practice location

2814 West Virginia Ave
Tampa, FL 33607

Mailing address

2814 West Virginia Ave
Tampa, FL 33607
Phone (813) 533-1710

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2084622Tampa Children'S ENT2814 West Virginia Ave, Tampa, FL 33607Certificate of waiverSep 25, 2026

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1053229674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 WEST VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-533-1710",
            "fax_number": "813-262-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 WEST VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-533-1710",
            "fax_number": "813-262-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA CHILDREN'S ENT P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "BRENTZ",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER-PARTNER",
        "authorized_official_telephone_number": "813-533-1710",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.

Verify at the official NPI Registry.