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NPI Code Detail

MEDICARE: WEST FLORIDA PEDIATRICS

MEDICARE: WEST FLORIDA PEDIATRICS
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
1208000000XPediatrics PhysicianME90418FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992067342
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST FLORIDA PEDIATRICS
Provider Business Mailing Address
First Line : 3733 E GULF TO LAKE HWY
Second Line : SUITE B
City : INVERNESS
State : FL
Zip : 34453-3206
Country : US
Telephone Number : 352-746-3338
Fax Number : 352-344-3414
Provider Business Practice Location Address
First Line : 3733 E GULF TO LAKE HWY
Second Line : SUITE B
City : INVERNESS
State : FL
Zip : 34453-3206
Country : US
Telephone Number : 352-746-3338
Fax Number : 352-344-3414
Authorized Official
Title or Position : OWNER
Name : DR. UDAY HIREMATH
Credential :
Telephone Number : 352-746-3338
Provider Enumeration Date : 06/12/2012
Last Update Date : 06/12/2012

Similar Medicare Providers

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Practice Location Address:
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1255479218 — WEST FLORIDA MEDICAL ASSOCIATES, PA
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1417261397 — ANNA KATRINA SANTOS TINIO M.D.
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1154598068 — SUSMITHA APURI M.D
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Directions to “WEST FLORIDA PEDIATRICS ” Practice Location

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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.