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IMAGINE PEDIATRICS OF FLORIDA LLC
NPI 1104542232
Pediatrics in Tampa, FL

Active since October 19, 2022CLIA 45D2276112 · Waiver
3109 W DR MARTIN LUTHER KING JR BLVD STE 350, TAMPA, FL 33607(833) 208-7770 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Nov 12, 2023, Oct 10, 2023 and 2 more (5 updates tracked since 2022).

About Imagine Pediatrics Of Florida Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAGINE PEDIATRICS OF FLORIDA LLC (NPI 1104542232) is a healthcare organization registered as a pediatrics in Tampa, Florida and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through September 15, 2027, maintains a secondary practice location in Miami, and lists Raymond Jiminez, General Manager, as its authorized official.

NPPES Registry Identity

NPI1104542232
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameIMAGINE PEDIATRICS OF FLORIDA LLC
Location Address3109 W DR MARTIN LUTHER KING JR BLVD STE 350Tampa, FL 33607-6208
Mailing AddressPo Box 34103Belfast, ME 04915-0619 · (833) 208-7770
Phone(833) 208-7770
Organization SubpartNo
Authorized OfficialRaymond JiminezGeneral Manager · (833) 208-7770
Enumeration DateOctober 19, 2022
Last NPPES UpdateAugust 18, 20255 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1104542232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedPharmacistTaxonomy 183500000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X
3109 W DR MARTIN LUTHER KING JR BLVD STE 350, Tampa, FL 33607
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Secondary Practice Location 1

Location 1333 SE 2nd AveMiami, FL 33131-2176 · Phone (504) 470-4140

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2276112

Imagine Pediatrics, PLLC · Houston, TX
Active · expires Sep 15, 2027
CLIA Number45D2276112
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorPatricia Hayes
Laboratory Phone(833) 208-7770
Laboratory LocationImagine Pediatrics, PLLC3200 Southwest Freeway, Suite 2100, Houston, TX 77027
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BHUMI MEHTA UPADHYAY M.D.
Pediatrics
3109 W DR MARTIN LUTHER KING JR BLVD STE 350
TAMPA, FL 33607
Hillsborough County (833) 208-7770
BRANDY MICHELLE GARCIA ASHE ARNP
Nurse Practitioner (Pediatrics)
3109 W DR MARTIN LUTHER KING JR BLVD STE 350
TAMPA, FL 33607
Hillsborough County (833) 208-7770
REEM ZIETOON RPH
Pharmacy (Clinic Pharmacy)
3109 W DR MARTIN LUTHER KING JR BLVD STE 350
TAMPA, FL 33607
Hillsborough County (833) 208-7770
TERRI ARTHUR BERGER APRN
Nurse Practitioner (Pediatrics)
3109 W DR MARTIN LUTHER KING JR BLVD STE 350
TAMPA, FL 33607
Hillsborough County (833) 208-7770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imagine Pediatrics Of Florida LLC's NPI number?

The NPI number for Imagine Pediatrics Of Florida LLC is 1104542232. It was assigned to this organization in the NPPES registry on October 19, 2022.

Where is Imagine Pediatrics Of Florida LLC located?

Imagine Pediatrics Of Florida LLC is located at 3109 W Dr Martin Luther King Jr Blvd Ste 350, Tampa, FL 33607. The listed phone number is (833) 208-7770.

What is Imagine Pediatrics Of Florida LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Imagine Pediatrics Of Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2276112) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imagine Pediatrics Of Florida LLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.