My Tampa Bay Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME92726 Issued in FL

Legal business name

MY TAMPA BAY PEDIATRICS, P.A.

Practice address

26907 Foggy Creek Rd
Ste 102
Wesley Chapel, FL 33544-6778

Phone

(813) 991-7337

Fax

(813) 994-0806

NPI assigned

Nov 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Carmen C Alfaro, MD

Title

President

Phone

(813) 991-7337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1558648451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89038",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336890400",
            "telephone_number": "813-418-5246",
            "fax_number": "813-994-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26907 FOGGY CREEK RD",
            "address_2": "STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446778",
            "telephone_number": "813-991-7337",
            "fax_number": "813-994-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TAMPA BAY PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-991-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME92726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.