Imagine Pediatrics Of Florida Llc

LBN: Imagine Pediatrics Of Florida Llc
Imagine Pediatrics Of Florida Llc is an health care organization with primary practice located at 3109 W Dr Martin Luther King Jr Blvd Ste 350 , Tampa FL 33607-6208. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Dietary & Nutritional Service Providers / Dietitian, Registered, Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Imagine Pediatrics Of Florida Llc can be contacted via phone (833) 208-7770, or through Beery, Kenneth Taylor via phone (504) 470-4140.

Contact Information

Primary practice address
3109 W Dr Martin Luther King Jr Blvd Ste 350 Tampa FL 33607-6208
Phone: (833) 208-7770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beery, Kenneth Taylor
Phone: (504) 470-4140

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Pharmacy Service Providers / Pharmacist 183500000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X

Profile Details

NPI number 1104542232
LBN Legal business name Imagine Pediatrics Of Florida Llc
DBA Doing business as
Authorized official Beery, Kenneth Taylor
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2022
Last updated Feb 6th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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