NPIMap

Organization Active NPI

All Well Pediatrics Group, P.a.

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1174332944
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ALL WELL PEDIATRICS GROUP, P.A.
Practice address
1922 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6510
Phone
(813) 849-5437
Fax
(813) 849-2624
NPI assigned
Jan 6, 2025
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ALL WELL PEDIATRICS GROUP, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Gowthaman Pandian
Title
Coo
Phone
(813) 816-5124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1922 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6510

Mailing address

17541 N Dale Mabry Hwy
Lutz, FL 33548-4521

National Provider Directory

National Provider Directory
Tax ID family
All Well Pediatrics Group PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1174332944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17541 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076510",
            "telephone_number": "813-849-5437",
            "fax_number": "813-849-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL WELL PEDIATRICS GROUP, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALL WELL PEDIATRICS GROUP, P.A.",
        "enumeration_date": "2025-01-06",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "PANDIAN",
        "authorized_official_first_name": "GOWTHAMAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-816-5124"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "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 Aug 4, 2026; 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.