Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A
LBN: Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A
Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A is an health care organization with primary practice located at 601 5Th St S. Suite #605, St Petersburg FL 33701-4808. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty.
Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A can be contacted via phone (727) 822-4300, or through Mcclenathan, Daniel Theodore via phone (727) 822-4300.
Contact Information
Primary practice address
601 5Th St S. Suite #605
St Petersburg FL 33701-4808
Phone: (727) 822-4300
Fax: (727) 456-1399
Website:
Authorized official contact:
Name: Mcclenathan, Daniel Theodore Doctor of Medicine (MD)
Phone: (727) 822-4300
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X |
Profile Details
| NPI number | 1780787382 |
|---|---|
| LBN Legal business name | Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A |
| DBA Doing business as | |
| Authorized official | Mcclenathan, Daniel Theodore Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | May 18th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780787382 | NPPES |
| Florida | MEDICAID | 254401600 |
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