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ELITE PEDIATRIC HEALTHCARE, LLC
NPI 1962000174
Nurse Practitioner - Pediatrics in Brandon, FL

Active since October 12, 2020
673 S KINGS AVENUE, BRANDON, FL 33511(251) 610-5615 Get Directions Write a Review

NPPES record last updated: May 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2021, Apr 24, 2021, Oct 12, 2020 (3 updates tracked since 2020).

About Elite Pediatric Healthcare, Llc NPPES

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

ELITE PEDIATRIC HEALTHCARE, LLC (NPI 1962000174) is a healthcare organization registered as a pediatrics in Brandon, Florida and active in the NPI registry since October 2020. The organization lists Rhonda Nichols Mcgrew, Nurse Practitioner/co-owner, as its authorized official.

NPPES Registry Identity

NPI1962000174
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameELITE PEDIATRIC HEALTHCARE, LLC
Location Address673 S KINGS AVENUEBrandon, FL 33511
Mailing Address19046 Bruce B Downs Blvd # 1397Tampa, FL 33647
Phone(251) 610-5615
Organization SubpartNo
Authorized OfficialRhonda Nichols McgrewNurse Practitioner/co-owner · (251) 610-5615
Enumeration DateOctober 12, 2020
Last NPPES UpdateMay 8, 20213 updates tracked since enumeration
NPPES CertifiedMay 8, 2021
✔ NPI 1962000174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
673 S KINGS AVENUE, Brandon, FL 33511
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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 SINGLE SPECIALTY GROUP

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 Elite Pediatric Healthcare, LLC's NPI number?

The NPI number for Elite Pediatric Healthcare, LLC is 1962000174. It was assigned to this organization in the NPPES registry on October 12, 2020.

Where is Elite Pediatric Healthcare, LLC located?

Elite Pediatric Healthcare, LLC is located at 673 S Kings Avenue, Brandon, FL 33511. The listed phone number is (251) 610-5615.

What is Elite Pediatric Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Elite Pediatric Healthcare, LLC was last updated on May 8, 2021. 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.