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PEDIATRIC HEALTH CARE ALLIANCE, PA
NPI 1730486762
Pediatrics in Lithia, FL

Active since February 28, 2011CLIA 10D0884495 · Waiver
5621 SKYTOP DR, LITHIA, FL 33547(813) 571-6800(813) 654-9939 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2022, Jun 30, 2021 (2 updates tracked since 2021).

About Pediatric Health Care Alliance, Pa NPPES

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

PEDIATRIC HEALTH CARE ALLIANCE, PA (NPI 1730486762) is a healthcare organization registered as a pediatrics in Lithia, Florida and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Debra S Gonzalez, Coo, as its authorized official.

NPPES Registry Identity

NPI1730486762
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC HEALTH CARE ALLIANCE, PA
Location Address5621 SKYTOP DRLithia, FL 33547-4165
Mailing Address720 Brooker Creek Blvd Ste 215Oldsmar, FL 34677-2937 · (813) 854-2003 · Fax (813) 436-5378
Phone(813) 571-6800
Fax(813) 654-9939
Organization SubpartYesParent: Pediatric Health Care Alliance, Pa
Authorized OfficialDebra S GonzalezCoo · (813) 854-2003
Enumeration DateFebruary 28, 2011
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1730486762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME70581
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.
5621 SKYTOP DR, Lithia, FL 33547
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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 MULTIPLE 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).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 10D0884495

Pediatric Health Care Alliance PA · Lithia, FL
Active · expires May 19, 2028
CLIA Number10D0884495
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorChristopher L. Tappan MD
Laboratory Phone(813) 571-6800
Laboratory LocationPediatric Health Care Alliance PA5621 Skytop Drive, Lithia, FL 33547
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 3

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

ASHLEY S HUNTER APRN
Nurse Practitioner (Family)
5621 SKYTOP DR
LITHIA, FL 33547
Hillsborough County (813) 571-6800
COURTNEY BEHRENS
Registered Nurse
5621 SKYTOP DR
LITHIA, FL 33547
Hillsborough County (813) 571-6800
MRS. JAMIE CROSS HAMILTON APRN
Nurse Practitioner (Primary Care)
5621 SKYTOP DR
LITHIA, FL 33547
Hillsborough County (813) 571-6800

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 Health Care Alliance, PA's NPI number?

The NPI number for Pediatric Health Care Alliance, PA is 1730486762. It was assigned to this organization in the NPPES registry on February 28, 2011.

Where is Pediatric Health Care Alliance, PA located?

Pediatric Health Care Alliance, PA is located at 5621 Skytop Dr, Lithia, FL 33547. The listed phone number is (813) 571-6800.

What is Pediatric Health Care Alliance, PA's specialty?

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

Does Pediatric Health Care Alliance, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0884495) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Health Care Alliance, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Health Care Alliance, 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 Pediatric Health Care Alliance, PA was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.