PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC
NPI 1912345497
Pediatrics in Trinity, FL

Q: What is Pediatric Associates Of Tampa Bay, LLC's specialty?

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

Active since June 06, 2013CLIA 10D2079996 · Certificate of Compliance

10710 STATE ROAD 54 STE 108, TRINITY, FL 34655(727) 376-4040(727) 376-8824 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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

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About Pediatric Associates Of Tampa Bay, Llc NPPES

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

PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC (NPI 1912345497) is a healthcare organization registered as a pediatrics in Trinity, Florida and active in the NPI registry since June 2013. The organization holds a CLIA Certificate of Compliance certificate valid through August 20, 2028 and lists Peter J Shulman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912345497

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC ASSOCIATES OF TAMPA BAY, LLC

Location Address10710 STATE ROAD 54 STE 108Trinity, FL 34655-2263

Mailing Address900 S Pine Island Rd, 800Plantation, FL 33324-3920 · (954) 967-6400 · Fax (954) 965-7339

Phone(727) 376-4040

Fax(727) 376-8824

Organization SubpartYesParent: Pediatric Associates Holding Company

Authorized OfficialPeter J ShulmanCeo · (954) 965-7322

Enumeration DateJune 6, 2013

Last NPPES UpdateAugust 25, 20202 updates tracked since enumeration

NPPES CertifiedAugust 25, 2020

✔ NPI 1912345497 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.

10710 STATE ROAD 54 STE 108, Trinity, FL 34655

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Other Identifiers 1

Medicaid008927601FL

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 10D2079996

Pediatric Associates · Trinity, FL

Active · expires Aug 20, 2028

CLIA Number10D2079996

Laboratory TypePhysician Office

Certificate Effective DateAugust 21, 2026

Certificate Expiration DateAugust 20, 2028

Laboratory DirectorDr. Alisha F. Pineiro

Laboratory Phone(954) 965-7754

Laboratory LocationPediatric Associates10710 Fl 54 Ste 108, Trinity, FL 34655

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

RACHEL KRISTEN MORIN

Nurse Practitioner