Holistic Pediatrics Group LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME95639 Issued in FL

Legal business name

HOLISTIC PEDIATRICS GROUP LLC

Practice address

2906 W Tampa Bay Blvd
Tampa, FL 33607-1233

Phone

(813) 879-1985

Fax

(813) 876-0336

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Avilio Munoz, M.D.NPI 1679580443

Title

Medical Director

Phone

(813) 879-1985

Specialties & licenses 1

Addresses

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avilio E Munoz, MD

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1679580443

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1437339231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 W TAMPA BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071233",
            "telephone_number": "813-879-1985",
            "fax_number": "813-876-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 W TAMPA BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071233",
            "telephone_number": "813-879-1985",
            "fax_number": "813-876-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PEDIATRICS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "AVILIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-879-1985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME95639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Todd Holland Falcone
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• Alisa Holland, M.D.

• All providers in Tampa, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.