Pediatric Associates Pa

LBN: Pediatric Associates Pa
Pediatric Associates Pa is an health care organization with primary practice located at 12385 Sorrento Rd Suite C4, Pensacola FL 32507-8664. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. Pediatric Associates Pa can be contacted via phone (850) 478-1100, or through Dyer, Shannon via phone (850) 478-1104.

Contact Information

Primary practice address
12385 Sorrento Rd Suite C4 Pensacola FL 32507-8664
Phone: (850) 478-1100
Fax: (850) 478-4289
Website:
Map and Directions
Authorized official contact:
Name: Dyer, Shannon
Phone: (850) 478-1104

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X

Profile Details

NPI number 1326380213
LBN Legal business name Pediatric Associates Pa
DBA Doing business as
Authorized official Dyer, Shannon
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 19th, 2013
Last updated Mar 20th, 2013 - about 11 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326380213 NPPES
Florida MEDICAID 280234102

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