IMAGINE PEDIATRICS OF FLORIDA LLC
NPI 1104542232
Pediatrics in Tampa, FL
- Organization
- Pediatrics
- CLIA Number: 45D2276112
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-15-2027
About IMAGINE PEDIATRICS OF FLORIDA LLC
This page provides the complete NPI Profile along with additional information for Imagine Pediatrics Of Florida Llc, a pediatrician established in Tampa, Florida operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1104542232 assigned on October 2022. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. Imagine Pediatrics Of Florida Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Raymond Jiminez (General Manager)
- NPI
- 1104542232 Verify this NPI
- Provider Name
- IMAGINE PEDIATRICS OF FLORIDA LLC
- Entity Type
- Organization
- Location Address
- 3109 W DR MARTIN LUTHER KING JR BLVD STE 350 TAMPA, FL 33607
- Location Phone
- (833) 208-7770
- Mailing Address
- PO BOX 34103 BELFAST, ME 04915
- Mailing Phone
- (833) 208-7770
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-19-2022
- Last Update Date
- 08-18-2025
- Code Navigator
A pediatrician like Imagine Pediatrics Of Florida Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 333 SE 2nd Ave
Miami, FL 33131
(504) 470-4140
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 4 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 5 | 183500000X | Pharmacy Service Providers | Pharmacist | |
| 6 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 8 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 9 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 10 | 363LP0222X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2276112
- Facility Type
- Physician Office
- Certificate Effective Date
- September 16, 2025
- Certificate Expiration Date
- September 15, 2027
- Laboratory Director
- PATRICIA HAYES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Imagine Pediatrics Of Florida Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
TAMPA, FL 33607
TAMPA, FL 33607
TAMPA, FL 33607
TAMPA, FL 33607
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104542232, enumerated as an "organization" on October 19, 2022.
The provider is located at 3109 W DR MARTIN LUTHER KING JR BLVD STE 350 TAMPA, FL 33607 and the phone number is (833) 208-7770.
Pediatrics with taxonomy code 208000000X.
