Organization Active NPI

Tina & Mary Corp

Doing business as Ocean Pediatric care

  • Pediatrics Physician
  • Spring Hill, FL
National Provider Identifier
1730583923
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME105372 Issued in FL
Legal business name
TINA & MARY CORP
Doing business as
Ocean Pediatric care
Practice address
10580 Spring Hill Dr
Spring Hill, FL 34608-5046
Phone
(352) 835-7111
Fax
(352) 835-7110
NPI assigned
Oct 16, 2014
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Eid Guirguis, MDNPI 1952559643
Title
Physician
Phone
(352) 835-7111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME105372 FL Primary

Addresses

Primary practice location

10580 Spring Hill Dr
Spring Hill, FL 34608-5046

Mailing address

10580 Spring Hill Dr
Spring Hill, FL 34608-5046
Phone (352) 835-7111

Other practice location 1

16230 Redstone Way
Odessa, FL 33556
Phone (352) 835-7111

Other identifiers 1

IdentifierTypeStateIssuer
001565700MedicaidFL

Other names 1

  • Ocean Pediatric care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241031000620 FL Part B Supplier - Clinic/Group Practice 1850745936 Receives reassigned benefits from 2 practitioners
Practice locations: Odessa, FL; Spring Hill, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2005405Ocean Pediatric Care10580 Spring Hill Dr, Spring Hill, FL 34608Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ocean Pediatric Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

16230 Redstone Way
Odessa, FL 33556
Phone (352) 835-7111

10580 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 835-7111

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1730583923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085046",
            "telephone_number": "352-835-7111",
            "fax_number": "352-835-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085046",
            "telephone_number": "352-835-7111",
            "fax_number": "352-835-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16230 Redstone Way",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "33556",
            "country_code": "US",
            "telephone_number": "352-835-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TINA & MARY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "GUIRGUIS",
        "authorized_official_first_name": "EID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-835-7111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME105372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001565700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Pediatric care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.