Active NPI
Tampa Children'S ENT P.L.
- Pediatric Otolaryngology Physician
- Tampa, FL
National Provider Identifier
1053229674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2084622 | Tampa Children'S ENT | Certificate of waiver | Sep 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": []
}
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- Tampa Cardiovascular Interventions and Research
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- Tampa Childrens Surgery Center LLC
- Tampa Chiropractic and Rehab Center Inc.
- Tampa Chiropractic LLC
- Tampa Counseling and Wellness
- Tampa Counseling Place, LLC
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.