Palm Harbor Pediatric Urgent Care Center PA

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PALM HARBOR PEDIATRIC URGENT CARE CENTER PA

Practice address

36458 US Highway 19 N
Palm Harbor, FL 34684-1330

Phone

(727) 787-5439

Fax

(727) 787-6221

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Luis Maramara, MD

Title

Provider/Owner

Phone

(727) 787-5439

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1720179120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23863",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336233863",
            "telephone_number": "727-823-2188",
            "fax_number": "727-823-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36458 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841330",
            "telephone_number": "727-787-5439",
            "fax_number": "727-787-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR PEDIATRIC URGENT CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "MARAMARA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "727-787-5439",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "282538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B903Q",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "196501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "220597",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271730100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Harbor Family Counseling Center
• Palm Harbor Family Counseling Center Inc.
• Palm Harbor Family Dentistry
• Palm Harbor FL Opco LLC
• Palm Harbor Internal Medicine and Pediatrics, PA
• Palm Harbor Pediatrics PA
• Palm Harbor Physical Therapy
• Palm Harbor Plastic Surgery Center
• Palm Harbor Post Acute LLC
• Palm Harbor Premier Dental, Inc.

• Urgent Care Clinic/Center in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.