COUNTRYSIDE PEDIATRIC CARE, P.A.
NPI 1518370345
Pediatrics in Clearwater, FL

Active since June 10, 2014
2531 LANDMARK DR STE 103, CLEARWATER, FL 33761(727) 599-0893(727) 674-2965 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Countryside Pediatric Care, P.a. NPPES

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

COUNTRYSIDE PEDIATRIC CARE, P.A. (NPI 1518370345) is a healthcare organization registered as a pediatrics in Clearwater, Florida and active in the NPI registry since June 2014. The organization lists Monica Kharbanda, President, as its authorized official.

NPPES Registry Identity

NPI1518370345
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOUNTRYSIDE PEDIATRIC CARE, P.A.
Location Address2531 LANDMARK DR STE 103Clearwater, FL 33761-3928
Mailing Address2531 Landmark Dr Ste 103Clearwater, FL 33761-3928 · (727) 599-0893 · Fax (727) 674-2965
Fax(727) 674-2965
Organization SubpartNo
Authorized OfficialMonica KharbandaPresident · (727) 599-0893
Enumeration DateJune 10, 2014
Last NPPES UpdateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
NPI 1518370345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME 92529
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.
2531 LANDMARK DR STE 103, Clearwater, FL 33761

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 Waiver 10D2082716

Countryside Pediatric Care PA · Clearwater, FL
Expired · Aug 19, 2026
CLIA Number10D2082716
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorMonica Kharbanda
Laboratory Phone(727) 599-0893
Laboratory LocationCountryside Pediatric Care PA2531 Landmark Dr - #103, Clearwater, FL 33761
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 4

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

Nurse Practitioner (Primary Care)
2531 LANDMARK DR STE 103
CLEARWATER, FL 33761
Nurse Practitioner (Family)
2531 LANDMARK DR STE 103
CLEARWATER, FL 33761
Pediatrics
2531 LANDMARK DR STE 103
CLEARWATER, FL 33761
Family Medicine
2531 LANDMARK DR STE 103
CLEARWATER, FL 33761

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 Countryside Pediatric Care, P.A.'s NPI number?

The NPI number for Countryside Pediatric Care, P.A. is 1518370345. It was assigned to this organization in the NPPES registry on June 10, 2014.

Where is Countryside Pediatric Care, P.A. located?

Countryside Pediatric Care, P.A. is located at 2531 Landmark Dr Ste 103, Clearwater, FL 33761. The listed phone number is (727) 599-0893.

What is Countryside Pediatric Care, P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Countryside Pediatric Care, P.A. was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.