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PEDIATRIC HEALTH CARE ALLIANCE, PA
NPI 1124325154
Pediatrics in Odessa, FL

Active since February 28, 2011CLIA Certified · 11 labs
1850 CROSSINGS BLVD UNIT 100, ODESSA, FL 33556(813) 475-7100(813) 475-7119 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2022, Jun 30, 2021 (2 updates tracked since 2021).

About Pediatric Health Care Alliance, Pa NPPES

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

PEDIATRIC HEALTH CARE ALLIANCE, PA (NPI 1124325154) is a healthcare organization registered as a pediatrics in Odessa, Florida and active in the NPI registry since February 2011. The organization holds 11 active CLIA laboratory certificates and lists Debra S Gonzalez, Coo, as its authorized official.

NPPES Registry Identity

NPI1124325154
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC HEALTH CARE ALLIANCE, PA
Location Address1850 CROSSINGS BLVD UNIT 100Odessa, FL 33556-6106
Mailing Address720 Brooker Creek Blvd Ste 215Oldsmar, FL 34677-2937 · (813) 854-2003 · Fax (813) 436-5378
Phone(813) 475-7100
Fax(813) 475-7119
Organization SubpartYesParent: Pediatric Healthcare Alliance, Pa - Suncoast
Authorized OfficialDebra S GonzalezCoo · (813) 854-2003
Enumeration DateFebruary 28, 2011
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1124325154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME65867
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.
1850 CROSSINGS BLVD UNIT 100, Odessa, FL 33556
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 11

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 10D2307084

Pediatric Health Care Alliance PA · Wesley Chapel, FL
Active · expires Jun 30, 2028
CLIA Number10D2307084
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorLalitha Raguthu
Laboratory Phone(813) 854-2003
Laboratory LocationPediatric Health Care Alliance PA27432 Cashford Cir Ste 102, Wesley Chapel, FL 33544
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2008118

Pediatric Health Care Alliance PA · Odessa, FL
Active · expires Jun 3, 2028
CLIA Number10D2008118
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorTan I. Ignatius
Laboratory Phone(813) 475-7100
Laboratory LocationPediatric Health Care Alliance PA14713 Sully Run, Odessa, FL 33556
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1079772

Pediatric Health Care Alliance PA Big Bend Office #17 · Riverview, FL
Active · expires Feb 6, 2028
CLIA Number10D1079772
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorChristina E. Lee
Laboratory Phone(813) 854-2003
Laboratory LocationPediatric Health Care Alliance PA Big Bend Office #1710729 Queens Town Dr, Riverview, FL 33579
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0289267

Pediatric Health Care Alliance PA · Brandon, FL
Active · expires Jan 19, 2028
CLIA Number10D0289267
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorAnna M. Myers
Laboratory Phone(813) 854-2003
Laboratory LocationPediatric Health Care Alliance PA811 S Parsons Avenue, Brandon, FL 33511
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0966724

Pediatric Health Care Alliance PA · Largo, FL
Active · expires Oct 24, 2027
CLIA Number10D0966724
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorShayne M. Gadea
Laboratory Phone(813) 854-2003
Laboratory LocationPediatric Health Care Alliance PA12951 Walsingham Rd, Largo, FL 33774
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2163152

Pediatric Health Care Alliance, PA · Apollo Beach, FL
Active · expires Mar 7, 2027
CLIA Number10D2163152
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorKevin J. Whitworth
Laboratory Phone(813) 854-2003
Laboratory LocationPediatric Health Care Alliance, PA225 Harbor Village Lane, Apollo Beach, FL 33572
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

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

MELODY NOEL BAADE MD
Pediatrics
1850 CROSSINGS BLVD UNIT 100
ODESSA, FL 33556
Pasco County (813) 475-7100

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 Pediatric Health Care Alliance, PA's NPI number?

The NPI number for Pediatric Health Care Alliance, PA is 1124325154. It was assigned to this organization in the NPPES registry on February 28, 2011.

Where is Pediatric Health Care Alliance, PA located?

Pediatric Health Care Alliance, PA is located at 1850 Crossings Blvd Unit 100, Odessa, FL 33556. The listed phone number is (813) 475-7100.

What is Pediatric Health Care Alliance, PA's specialty?

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

Does Pediatric Health Care Alliance, PA hold CLIA laboratory certificates?

Yes. 11 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pediatric Health Care Alliance, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Health Care Alliance, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Health Care Alliance, PA was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.