MEDICARE: NIGHT OWL PEDIATRICS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center
2	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	103546	OTHER	FL	MEDICALLICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	BL081Y	OTHER	FL	BCBSFL
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	B905P	OTHER	FL	BCBSFL
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790973394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIGHT OWL PEDIATRICS PA

Provider Business Mailing Address
First Line	:	10359 CROSS CREEK BLVD STE CD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2772
Country	:	US
Telephone Number	:	813-994-0044
Fax Number	:	813-994-0055

Provider Business Practice Location Address
First Line	:	10359 CROSS CREEK BLVD STE CD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2772
Country	:	US
Telephone Number	:	813-994-0044
Fax Number	:	813-994-0055

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	ASHRAF ADS
Credential	:	MD
Telephone Number	:	734-306-2518

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	12/30/2025

Similar Medicare Providers

1801855119 — ASHRAF ADS M.D.
Practice Location Address:

10359 CROSS CREEK BLVD STE CD
TAMPA, FL
33647-2772

Practice Phone: 813-994-0044
Practice Fax: 813-994-0055

1225089162 — DR. LOIS A MILES MD
Practice Location Address:

10359 CROSS CREEK BLVD
TAMPA, FL
33647-2772

Practice Phone: 813-994-0044
Practice Fax: 813-994-0055

1902850514 — SAMIR DOUIDAR M.D.
Practice Location Address:

10359 CROSS CREEK BLVD STE CD
TAMPA, FL
33647-2772

Practice Phone: 813-994-0044
Practice Fax: 813-994-0055

1194351635 — MRS. KARA LYNN MALAGHAN CPNP-PC
Practice Location Address:

10359 CROSS CREEK BLVD
TAMPA, FL
33647-2772

Practice Phone: 813-994-0044
Practice Fax:

1508102021 — DR. KENAN TARABISHY D.D.S.
Practice Location Address:

15237 AMBERLY DR
TAMPA, FL
33647-2155

Practice Phone: 813-978-3636
Practice Fax:

1982652574 — MANISH R. SHARMA D.O.
Practice Location Address:

15310 AMBERLY DR STE 250
TAMPA, FL
33647-1642

Practice Phone: 813-907-0123
Practice Fax: 813-907-5559

Directions to “NIGHT OWL PEDIATRICS PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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