Premier Pediatrics Coastal

LBN: Ira Fialko Do Pa
Premier Pediatrics Coastal is an health care organization with primary practice located at 6171 W Gulf To Lake Hwy , Crystal River FL 34429-2679. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Ira Fialko Do Pa can be contacted via phone (352) 563-0220, or through Eunus, Shahab via phone (352) 671-6741.

Contact Information

Primary practice address
6171 W Gulf To Lake Hwy Crystal River FL 34429-2679
Phone: (352) 563-0220
Fax: (352) 563-0706
Website:
Map and Directions
Authorized official contact:
Name: Eunus, Shahab Doctor of Medicine (MD)
Phone: (352) 671-6741

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS4404 Florida
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1770865917
LBN Legal business name Ira Fialko Do Pa
DBA Doing business as Premier Pediatrics Coastal
Authorized official Eunus, Shahab Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2011
Last updated Apr 12th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770865917 NPPES
Florida Other 121610464236 HUMANA
Florida Other 202840 HUMANA
Florida MEDICAID 046778200 HUMANA
Florida Other 82630 HUMANA
Florida Other 267066600 HUMANA
Florida Other 01118033 HUMANA
Florida Other 202840 HUMANA
Florida Other 366272 HUMANA

Popular Providers