Peninsula Pediatrics of West Florida, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 100692 Issued in FL

Legal business name

PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC

Doing business as

Peninsula Pediatrics

Practice address

13163 66TH Street
Largo, FL 33773

Phone

(727) 228-7000

Fax

(727) 223-3614

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Steven Michael Moore, M.D.

Title

Owner

Phone

(727) 228-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peninsula Pediatrics Doing business as

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

CLIA laboratory certificates

Practitioners 1

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

• Christine Burns Clark, MD

  • Pediatrics Physician
  • Largo, FL
  • NPI 1235333691
  NPD

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1639538713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13163 66TH STREET",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33773",
            "telephone_number": "727-228-7000",
            "fax_number": "727-223-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13163 66TH STREET",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33773",
            "telephone_number": "727-228-7000",
            "fax_number": "727-223-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-228-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 100692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018367100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sergio Enrique Pedraza
• Joyce Pellegrini, P.T.A
• Beatriz Pena
• Daymi L Pena
• Daniel Penello, M.D. MBA
• Robert A Pensa, PHD
• Robert M Pepper, DO
• Esteban Andres Peralta Chacon
• Mark Percifield, PHARM D.
• Leronne Perera, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.