Peace on Earth Foundation Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

PEACE ON EARTH FOUNDATION INC

Practice address

1323 W Busch Blvd Ste B
Tampa, FL 33612-7766

Phone

(813) 999-4894

NPI assigned

Dec 2, 2018

Organization subpart

Yes

Parent organization

-As reported in NPPES

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

Authorized official

Name

Mr. Kirit Shah, LLB, DBM

Title

Ceo

Phone

(727) 455-6250

Specialties & licenses 1

Addresses

Other names 1

• Free Clinic Of Tampa Bay Doing business as

Part of

Peace on Earth Foundation Inc

Locations

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

{
    "created_epoch": "1543708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543708800000",
    "number": "1306316443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ELDORADO AVE",
            "city": "CLEARWATER BEACH",
            "state": "FL",
            "postal_code": "337671024",
            "telephone_number": "727-455-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W BUSCH BLVD STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127766",
            "telephone_number": "813-999-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE ON EARTH FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2018-12-02",
        "last_updated": "2018-12-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KIRIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-455-6250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LLB, DBM"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free Clinic Of Tampa Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Voluntary or Charitable Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Voluntary or Charitable Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2018; 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.