BLOOMINGDALE PEDIATRIC ASS PA
NPI 1376617043
Pediatrics in Valrico, FL

Q: What is Bloomingdale Pediatric Ass PA's NPI number?

The NPI number for Bloomingdale Pediatric Ass PA is 1376617043. It was assigned to this organization in the NPPES registry on November 17, 2006.

Q: What is Bloomingdale Pediatric Ass PA's specialty?

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

Active since November 17, 2006CLIA 10D0711963 · Waiver

4316 BELL SHOALS RD, VALRICO, FL 33594(813) 684-1881(813) 685-0471 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bloomingdale Pediatric Ass Pa NPPES

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

BLOOMINGDALE PEDIATRIC ASS PA (NPI 1376617043) is a healthcare organization registered as a pediatrics in Valrico, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sonia M Ruiz, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1376617043

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameBLOOMINGDALE PEDIATRIC ASS PA

Location Address4316 BELL SHOALS RDValrico, FL 33594

Mailing Address4316 Bell Shoals RdValrico, FL 33594 · (813) 684-1881 · Fax (813) 685-0471

Phone(813) 684-1881

Fax(813) 685-0471

Organization SubpartNo

Authorized OfficialSonia M RuizPediatrician · (813) 684-1881

Enumeration DateNovember 17, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376617043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME45712

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.

4316 BELL SHOALS RD, Valrico, FL 33594

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Other Identifiers 5

Other26208721Aetna

Other00559Staywell

Other62614Bcbs

Other00559Heahcase

Other208721Amerigroup

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 Ambetter Health, Ambetter of Alabama.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 10D0711963

Bloomingdale Pediatric Associates PA · Valrico, FL

Active · expires Aug 31, 2026

CLIA Number10D0711963

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorSonia Ruiz MD

Laboratory Phone(813) 684-1881

Laboratory LocationBloomingdale Pediatric Associates PA4316 Bell Shoals Road, Valrico, FL 33594

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Bloomingdale Pediatric Ass PA's NPI number?

The NPI number for Bloomingdale Pediatric Ass PA is 1376617043. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Bloomingdale Pediatric Ass PA located?

Bloomingdale Pediatric Ass PA is located at 4316 Bell Shoals Rd, Valrico, FL 33594. The listed phone number is (813) 684-1881.

What is Bloomingdale Pediatric Ass PA's specialty?

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

Does Bloomingdale Pediatric Ass PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0711963) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bloomingdale Pediatric Ass PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Bloomingdale Pediatric Ass 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 Bloomingdale Pediatric Ass 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.