My Pediatrician, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME78831 Issued in FL

Legal business name

MY PEDIATRICIAN, P.A.

Practice address

1037 Professional Park Dr
Brandon, FL 33511-4886

Phone

(813) 684-5659

NPI assigned

Oct 8, 2008

Organization subpart

No

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

Authorized official

Name

Alicia Medrano Ong, M.D.

Title

Pediatrician/Owner

Phone

(813) 684-5659

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1619128675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 PROFESSIONAL PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114886",
            "telephone_number": "813-684-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 PROFESSIONAL PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114886",
            "telephone_number": "813-684-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PEDIATRICIAN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "MEDRANO",
        "authorized_official_title_or_position": "PEDIATRICIAN/OWNER",
        "authorized_official_telephone_number": "813-684-5659",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME78831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mux Balanced Care LLC (Trinity Wellness)
• Mux Balanced Care LLC (Trinity Wellness)
• My Care, Inc
• My Fathers Eyes Inc (Accessible Home Health Care of E. Hillsborough)
• My Next Chapter LLC
• My Pharmacy of Big Bend, Inc. (My Pharmacy of Big Bend)
• Adam Myers, PTA
• Aliyah Katrin Myers, RBT
• Anna Maria Myers, D.O.
• Nancy Myers, C.R.N.A.

• Pediatrics Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.