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PEDIATRIC ASSOCIATES OF TAMPA BAY, INC
NPI 1649618299
Pediatrics in Riverview, FL

Active since June 05, 2013CLIA 10D2088062 · Certificate of Compliance
11260 SULLIVAN STREET, RIVERVIEW, FL 33578(813) 689-7571(813) 654-8129 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2020, Aug 6, 2018 (2 updates tracked since 2018).

About Pediatric Associates Of Tampa Bay, Inc NPPES

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

PEDIATRIC ASSOCIATES OF TAMPA BAY, INC (NPI 1649618299) is a healthcare organization registered as a pediatrics in Riverview, Florida and active in the NPI registry since June 2013. The organization holds a CLIA Certificate of Compliance certificate valid through February 25, 2027 and lists Peter J Shulman, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1649618299
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF TAMPA BAY, INC
Location Address11260 SULLIVAN STREETRiverview, FL 33578
Mailing Address900 S Pine Island Rd, 800Plantation, FL 33324-3920 · (954) 967-6400 · Fax (954) 965-7339
Phone(813) 689-7571
Fax(813) 654-8129
Organization SubpartYesParent: Pediatric Associates Holding Company
Authorized OfficialPeter J ShulmanPresident/ceo · (954) 965-7322
Enumeration DateJune 5, 2013
Last NPPES UpdateAugust 25, 20202 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1649618299 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.
11260 SULLIVAN STREET, Riverview, FL 33578
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Other Identifiers 1

Medicaid008927600FL

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 10D2088062

Pediatric Associates · Riverview, FL
Active · expires Feb 25, 2027
CLIA Number10D2088062
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorDr. Alisha F. Pineiro
Laboratory Phone(954) 965-7754
Laboratory LocationPediatric Associates11260 Sullivan St, Riverview, FL 33578
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Pediatric Associates Of Tampa Bay, Inc's NPI number?

The NPI number for Pediatric Associates Of Tampa Bay, Inc is 1649618299. It was assigned to this organization in the NPPES registry on June 5, 2013.

Where is Pediatric Associates Of Tampa Bay, Inc located?

Pediatric Associates Of Tampa Bay, Inc is located at 11260 Sullivan Street, Riverview, FL 33578. The listed phone number is (813) 689-7571.

What is Pediatric Associates Of Tampa Bay, Inc's specialty?

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

Does Pediatric Associates Of Tampa Bay, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2088062) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of Tampa Bay, Inc was last updated on August 25, 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.