Banyan Pediatric Care Centers - St Petersburg

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

BANYAN PEDIATRIC CARE CENTERS - ST PETERSBURG

Practice address

850 3Rd Ave S
St Petersburg, FL 33701-4010

Phone

(727) 821-5439

Fax

(727) 821-9459

NPI assigned

Oct 14, 2019

Last updated

Oct 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janet Huffman

Title

Cfo

Phone

(941) 342-9721

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1265074090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5973 CATTLEMEN LN",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326200",
            "telephone_number": "941-342-9721",
            "fax_number": "941-296-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 3RD AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014010",
            "telephone_number": "727-821-5439",
            "fax_number": "727-821-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN PEDIATRIC CARE CENTERS - ST PETERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-342-9721"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medically Fragile Infants and Children Day Care in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Medically Fragile Infants and Children Day Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.