TOTAL PEDIATRIC HEALTHCARE
NPI 1639447352
Clinic/Center in Brandon, FL

Active since December 08, 2011CLIA Certified · 2 labs
203 KINGSWAY RD, STE A, BRANDON, FL 33510(813) 655-5106 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Total Pediatric Healthcare NPPES

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

TOTAL PEDIATRIC HEALTHCARE (NPI 1639447352) is a healthcare organization registered as a clinic/center in Brandon, Florida and active in the NPI registry since December 2011. The organization holds 2 active CLIA laboratory certificates and lists Stewart Aubrey Grant, Owner, as its authorized official.

NPPES Registry Identity

NPI1639447352
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTOTAL PEDIATRIC HEALTHCARE
Location Address203 KINGSWAY RD, STE ABrandon, FL 33510-4679
Mailing Address16765 Fishhawk Blvd # 314Lithia, FL 33547-3860 · (813) 655-5106
Organization SubpartNo
Authorized OfficialStewart Aubrey GrantOwner · (813) 655-5106
Enumeration DateDecember 8, 2011
Last NPPES UpdateDecember 12, 2011
NPI 1639447352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · ME72163
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
203 KINGSWAY RD, Brandon, FL 33510

Other Identifiers 2

Medicaid252632800FL
Medicare UPING65391

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 10D1019674

Total Pediatric Healthcare II · Lakeland, FL
Active · expires Nov 23, 2027
CLIA Number10D1019674
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2025
Certificate Expiration DateNovember 23, 2027
Laboratory DirectorStewart A. Grant
Laboratory Phone(813) 655-5106
Laboratory LocationTotal Pediatric Healthcare II3131 Lakeland Hills Blvd Ste 4, Lakeland, FL 33805
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0986750

Total Pediatric Healthcare · Brandon, FL
Active · expires May 22, 2027
CLIA Number10D0986750
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorStewart A. Grant
Laboratory Phone(813) 655-5106
Laboratory LocationTotal Pediatric Healthcare131 N Oakwood Avenue, Brandon, FL 33510
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.

Pediatrics
203 KINGSWAY RD, SUITE A
BRANDON, FL 33510

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 Total Pediatric Healthcare's NPI number?

The NPI number for Total Pediatric Healthcare is 1639447352. It was assigned to this organization in the NPPES registry on December 8, 2011.

Where is Total Pediatric Healthcare located?

Total Pediatric Healthcare is located at 203 Kingsway Rd Ste A, Brandon, FL 33510. The listed phone number is (813) 655-5106.

What is Total Pediatric Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Total Pediatric Healthcare hold CLIA laboratory certificates?

Yes. 2 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 Total Pediatric Healthcare accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Wellpoint list Total Pediatric Healthcare 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 Total Pediatric Healthcare was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.