PENINSULA PEDIATRICS
NPI 1639538713
Pediatrics in Largo, FL

Q: What is Peninsula Pediatrics Of West Florida, PLLC's specialty?

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

Active since February 17, 2016CLIA 10D2112675 · Waiver

13163 66TH STREET, LARGO, FL 33773(727) 228-7000(727) 223-3614 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2023, Sep 28, 2016, Sep 2, 2016 and 1 more (4 updates tracked since 2016).

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About Peninsula Pediatrics NPPES

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

PENINSULA PEDIATRICS (NPI 1639538713) is a healthcare organization registered as a pediatrics in Largo, Florida and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Steven Michael Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1639538713

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePENINSULA PEDIATRICS OF WEST FLORIDA, PLLC

Location Address13163 66TH STREETLargo, FL 33773

Mailing Address13163 66th StreetLargo, FL 33773 · (727) 228-7000 · Fax (727) 223-3614

Phone(727) 228-7000

Fax(727) 223-3614

Organization SubpartNo

Authorized OfficialSteven Michael MooreOwner · (727) 228-7000

Enumeration DateFebruary 17, 2016

Last NPPES UpdateJune 5, 20234 updates tracked since enumeration

NPPES CertifiedJune 5, 2023

✔ NPI 1639538713 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 100692

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.

13163 66TH STREET, Largo, FL 33773

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Other Names 1

Doing Business AsPeninsula Pediatrics

Other Identifiers 1

Medicaid018367100FL

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), Wellpoint.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 10D2112675

Peninsula Pediatrics · Largo, FL

Active · expires May 3, 2028

CLIA Number10D2112675

Laboratory TypePhysician Office

Certificate Effective DateMay 4, 2026

Certificate Expiration DateMay 3, 2028

Laboratory DirectorSteven Moore

Laboratory Phone(727) 228-7000

Laboratory LocationPeninsula Pediatrics13163 66th Street North, Largo, FL 33773

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

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

DR. STEVEN M MOORE M.D.

Pediatrics

13163 66TH STREET
LARGO, FL 33773

Pinellas County (727) 228-7000

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 Peninsula Pediatrics Of West Florida, PLLC's NPI number?

The NPI number for Peninsula Pediatrics Of West Florida, PLLC is 1639538713. It was assigned to this organization in the NPPES registry on February 17, 2016. The provider is doing business as Peninsula Pediatrics.

Where is Peninsula Pediatrics Of West Florida, PLLC located?

Peninsula Pediatrics Of West Florida, PLLC is located at 13163 66th Street, Largo, FL 33773. The listed phone number is (727) 228-7000.

What is Peninsula Pediatrics Of West Florida, PLLC's specialty?

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

Does Peninsula Pediatrics Of West Florida, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2112675) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peninsula Pediatrics Of West Florida, PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Peninsula Pediatrics Of West Florida, PLLC 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 Peninsula Pediatrics Of West Florida, PLLC was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.