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PREMIER CARE PEDIATRICS, PA
NPI 1346442506
Pediatrics in Lithia, FL

Active since June 01, 2007CLIA 10D1055352 · Waiver
16637 FISHHAWK BLVD, SUITE 101, LITHIA, FL 33547(813) 657-7337(813) 661-4702 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Care Pediatrics, Pa NPPES

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

PREMIER CARE PEDIATRICS, PA (NPI 1346442506) is a healthcare organization registered as a pediatrics in Lithia, Florida and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Matthew Cameron Minick, President, as its authorized official.

NPPES Registry Identity

NPI1346442506
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePREMIER CARE PEDIATRICS, PA
Location Address16637 FISHHAWK BLVD, SUITE 101Lithia, FL 33547-3918
Mailing Address16637 Fishhawk Blvd, Suite 101Lithia, FL 33547-3918 · (813) 657-7337 · Fax (813) 661-4702
Phone(813) 657-7337
Fax(813) 661-4702
Organization SubpartNo
Authorized OfficialMatthew Cameron MinickPresident · (813) 657-7337
Enumeration DateJune 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346442506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME90457
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.
16637 FISHHAWK BLVD, Lithia, FL 33547
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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 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

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 10D1055352

Premier Care Pediatrics PA · Lithia, FL
Active · expires Jun 14, 2028
CLIA Number10D1055352
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorMatthew C. Minick
Laboratory Phone(813) 657-7337
Laboratory LocationPremier Care Pediatrics PA16637 Fishhawk Blvd Ste 101, Lithia, FL 33547
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

THERXSERVICES INC
Speech-Language Pathologist
16637 FISHHAWK BLVD, SUITE 105
LITHIA, FL 33547
Hillsborough County (813) 655-8822
BETH ANN BROWN COTA
Occupational Therapy Assistant
16637 FISHHAWK BLVD, SUITE 105
LITHIA, FL 33547
Hillsborough County (772) 631-4105

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 Premier Care Pediatrics, PA's NPI number?

The NPI number for Premier Care Pediatrics, PA is 1346442506. It was assigned to this organization in the NPPES registry on June 1, 2007.

Where is Premier Care Pediatrics, PA located?

Premier Care Pediatrics, PA is located at 16637 Fishhawk Blvd Suite 101, Lithia, FL 33547. The listed phone number is (813) 657-7337.

What is Premier Care Pediatrics, PA's specialty?

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

Does Premier Care Pediatrics, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1055352) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Care Pediatrics, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Premier Care Pediatrics, 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 Premier Care Pediatrics, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.