NPI 1023334844

Pm Pediatric Place, MD PA

Organisation Pediatric Emergency Medicine (Pediatrics) Physician Tampa, FL

Practice location

Address: 1338 W Fletcher Ave, Tampa, FL 33612-3366
Phone: (813) 265-8940
Fax: (813) 264-1677

Authorised official

Name: Michelle Johnsons
Title: Medical Director
Phone: (813) 264-2288

Registered specialties

Pediatric Emergency Medicine (Pediatrics) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0204X Licence ME62751 (FL)

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Registry record

NPI: 1023334844
Entity type: Organization
NPI issued: 19 Apr 2010
Record last updated: 19 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.