PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC - NPI 1356904924

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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About Pediatric Associates Of Tampa Bay, Llc NPPES

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

PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC (NPI 1356904924) is a healthcare organization registered as a pediatrics in Tampa, Florida and active in the NPI registry since April 2019. The organization holds a CLIA Certificate of Compliance certificate valid through May 21, 2028 and lists Patricia Corsiatto, Director, as its authorized official.

NPPES Registry Identity

NPI1356904924

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC ASSOCIATES OF TAMPA BAY, LLC

Location Address12871 CITRUS PLAZA DRTampa, FL 33625-3010

Mailing Address900 S Pine Island Rd Ste 800Plantation, FL 33324-3923 · (954) 967-6400 · Fax (954) 965-7339

Phone(813) 343-5022

Fax(954) 965-7339

Organization SubpartNo

Authorized OfficialPatricia CorsiattoDirector · (954) 965-7331

Enumeration DateApril 18, 2019

Last NPPES UpdateAugust 25, 20203 updates tracked since enumeration

NPPES CertifiedAugust 25, 2020

✔ NPI 1356904924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

12871 CITRUS PLAZA DR, Tampa, FL 33625

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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

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 Compliance 10D2179302

Pediatric Associates · Tampa, FL

Active · expires May 21, 2028

CLIA Number10D2179302

Laboratory TypePhysician Office

Certificate Effective DateMay 22, 2026

Certificate Expiration DateMay 21, 2028

Laboratory DirectorRosa Gaud

Laboratory Phone(954) 965-7754

Laboratory LocationPediatric Associates12871 Citrus Park Dr, Tampa, FL 33625

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

DIANA PATRICIA ESPINOSA-DUQUE MD

Pediatrics