Pediatric Associates of Tampa Bay, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC

Practice address

900 S Pine Island Rd
#800
Plantation, FL 33324-3920

Phone

(954) 967-6400

Fax

(954) 965-7339

NPI assigned

Apr 3, 2013

Organization subpart

Yes

Parent organization

SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Peter J Shulman, MD

Title

President and Ceo

Phone

(954) 965-7322

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pediatric Associates of Tampa Bay LLC5 organizations share this tax ID, including this one

Part of

Pediatric Associates PA

Other organizations with this tax ID 4

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

• Pediatric Associates of Tampa Bay, Inc

  • Pediatrics Physician
  • Riverview, FL
  • NPI 1649618299
  NPD tax ID
• Pediatric Associates of Tampa Bay, LLC

  • Pediatrics Physician
  • Brandon, FL
  • NPI 1245855063
  NPD tax ID
• Pediatric Associates of Tampa Bay, LLC

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1356904924
  NPD tax ID
• Pediatric Associates of Tampa Bay, LLC

  • Pediatrics Physician
  • Trinity, FL
  • NPI 1912345497
  NPD tax ID

Locations

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1861735383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD",
            "address_2": "#800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243920",
            "telephone_number": "954-967-6400",
            "fax_number": "954-965-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD",
            "address_2": "#800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243920",
            "telephone_number": "954-967-6400",
            "fax_number": "954-965-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC",
        "enumeration_date": "2013-04-03",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "954-965-7322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008927602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurence Drew Pearson, MD
• Kathryn Rose Pebanco, APRN
• Grete Amy Peck, DO
• Pedi Pec, Inc
• Pediatric Associates of Northeast Florida, LLC (Jacksonville Pediatric Associates)
• Pediatric Dental Land
• Pediatric Therapy Associates of South Florida, Inc. (Pediatric Therapy Associates)
• Pediatrics Care Plus
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.