St Mary'S Pediatric Care Pllc

LBN: St Mary'S Pediatric Care Pllc
St Mary'S Pediatric Care Pllc is an health care organization with primary practice located at 2626 Tampa Rd Suite 101, Palm Harbor FL 34684-3155. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. St Mary'S Pediatric Care Pllc can be contacted via phone (727) 754-1984, or through Guirguis, Eid via phone (727) 754-1984.

Contact Information

Primary practice address
2626 Tampa Rd Suite 101 Palm Harbor FL 34684-3155
Phone: (727) 754-1984
Fax: (727) 754-2868
Website:
Map and Directions
Authorized official contact:
Name: Guirguis, Eid Doctor of Medicine (MD)
Phone: (727) 754-1984

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME105372 Florida

Profile Details

NPI number 1659778231
LBN Legal business name St Mary'S Pediatric Care Pllc
DBA Doing business as
Authorized official Guirguis, Eid Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2014
Last updated Nov 26th, 2014 - about 10 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 1659778231 NPPES
Florida MEDICAID 0015657

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