West Florida Pediatrics
Organization Active NPI Pediatrics Physician · Inverness, FL
NPI 1992067342 · NPPES record last updated Jun 12, 2012
Key facts
- NPI
- 1992067342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME90418 (FL)
- Legal business name
- WEST FLORIDA PEDIATRICS
- Practice address
- 3733 E Gulf to Lake Hwy
Suite B
Inverness, FL 34453-3206 - Phone
- (352) 746-3338
- Fax
- (352) 344-3414
- NPI assigned
- Jun 12, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- WEST FLORIDA MEDICAL ASSOCIATES
Authorized official
- Name
- Dr. Uday Hiremath
- Title
- Owner
- Phone
- (352) 746-3338
Corporate family (same tax ID) 27
National Provider Directory
- Tax ID family
- Lri Medical
- Part of
- Lri Medical
Locations
3733 E Gulf To Lake Hwy
#B
Inverness, FL 34453
Phone (352) 746-3338
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | ME90418 | FL | Yes |
Addresses
Primary practice location
3733 E Gulf to Lake Hwy
Suite B
Inverness, FL 34453-3206
Mailing address
3733 E Gulf to Lake Hwy
Suite B
Inverness, FL 34453-3206
Phone (352) 746-3338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252639501 | Medicaid | FL |
Other providers in Inverness, FL
- West Florida Medical Associates, P.a.
- West Florida Medical Associates, PA
- West Florida Medical Associates, PA
- West Florida Medical Associates, PA
- West Florida Medical Associates, PA
- West Florida Professional Billing, LLC
- West Hernando Diagnostic & Mr Center
- Westcoast Diagnostic Imaging Centers, Inc.
- Noah Joseph Wheeler
- Dickie Eugene Willard
All providers in Inverness, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.