Doctor Bou Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DOCTOR BOU PEDIATRICS INC

Practice address

1507 W Reynolds St Ste a
Plant City, FL 33563-4702

Phone

(813) 719-3716

NPI assigned

Feb 21, 2008

Last updated

Apr 9, 2018By 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

Salvador Angel Bou-GauthierNPI 1932181625

Title

Ceo / Physician

Phone

(813) 719-3716

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16288/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Salvador Angel Bou-Gauthier, MD

  • Pediatrics Physician
  • Plant City, FL
  • NPI 1932181625
  NPD Authorized official
• Scott Torres Dona, MD

  • Pediatrics Physician
  • Plant City, FL
  • NPI 1659867810

  Single Specialty

  NPD (past)
• Sonja L Edmonds, MD

  • Pediatrics Physician
  • Plant City, FL
  • NPI 1487679023
  NPD (past)
• Erika Mendoza-Hutto, MSN, ARNP, FNP-BC

  • Pediatric Nurse Practitioner
  • Tampa, FL
  • NPI 1982197430
  NPD (past)
• Dayna Cherise Moore, MD

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1154640332
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1316116536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W REYNOLDS ST STE A",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634702",
            "telephone_number": "813-719-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W REYNOLDS ST STE A",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634702",
            "telephone_number": "813-719-3716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20713 Center Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336473551",
            "country_code": "US",
            "telephone_number": "813-948-8814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTOR BOU PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "BOU-GAUTHIER",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "CEO / PHYSICIAN",
        "authorized_official_telephone_number": "813-719-3716"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374065000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas A Digeronimo, M.D.
• Robin Belle Dimond
• Donna Disanti, APRN
• DNP-Derm LLC
• Jennifer Dobies, REGISTERLMHCINTERN
• Doctors Diet Program of South Florida PLLC
• Scott Torres Dona, MD
• Urshela Dorsett
• Judith Driskell, PSY.S.
• DRS. Howell, Whitehead and Associates, PA

• Pediatrics Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.