NPIMap

Organization Active NPI

St Mary Florida Pediatric Care PLLC

Doing business as St Mary Florida Pediatrics and Family Care

  • Pediatrics Physician
  • Palm Harbor, FL
National Provider Identifier
1770971541
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ST MARY FLORIDA PEDIATRIC CARE PLLC
Doing business as
St Mary Florida Pediatrics and Family Care
Practice address
2626 Tampa Rd
Ste 101
Palm Harbor, FL 34684-3155
Phone
(727) 754-1984
Fax
(757) 754-2868
NPI assigned
Jan 2, 2015
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Dr. Magda F Salib, MDNPI 1295922797
Title
MD/Owner
Phone
(727) 754-1984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

2626 Tampa Rd
Ste 101
Palm Harbor, FL 34684-3155

Mailing address

2626 Tampa Rd
Ste 101
Palm Harbor, FL 34684-3155
Phone (727) 754-1984

Other names 1

  • St Mary Florida Pediatrics and Family Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1770971541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 TAMPA RD",
            "address_2": "STE 101",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843155",
            "telephone_number": "727-754-1984",
            "fax_number": "757-754-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 TAMPA RD",
            "address_2": "STE 101",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843155",
            "telephone_number": "727-754-1984",
            "fax_number": "757-754-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY FLORIDA PEDIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "SALIB",
        "authorized_official_first_name": "MAGDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "727-754-1984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Mary Florida Pediatrics and Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.