NPIMap

Organization Active NPI

Pediatric Health Choice

  • Clinic/Center
  • Gainesville, FL
National Provider Identifier
1609458843
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PEDIATRIC HEALTH CHOICE
Practice address
2025 SW 75TH St Ste 30
Gainesville, FL 32607-3467
Phone
(352) 333-1900
NPI assigned
Apr 27, 2021
Last updated
Mar 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Heidi Tosti
Title
VP Finance
Phone
(813) 880-0320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2025 SW 75TH St Ste 30
Gainesville, FL 32607-3467

Mailing address

8509 Benjamin Rd Ste D
Tampa, FL 33634-1224
Phone (813) 769-5358

Other identifiers 1

IdentifierTypeStateIssuer
880567906MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Prescribed Pediatric Extended Care Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

2025 SW 75th St
Ste 30
Gainesville, FL 32607
Phone (352) 333-1195

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1609458843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 BENJAMIN RD STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341224",
            "telephone_number": "813-769-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SW 75TH ST STE 30",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073467",
            "telephone_number": "352-333-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "TOSTI",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "813-880-0320"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880567906",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.