Healthcare Provider Details

I. General information

NPI: 1053502997
Provider Name (Legal Business Name): CARING PEDIATRICS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 09/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4439 ROWAN ROAD
NEW PORT RICHEY FL
34653
US

IV. Provider business mailing address

4439 ROWAN ROAD
NEW PORT RICHEY FL
34653
US

V. Phone/Fax

Practice location:
  • Phone: 727-853-2273
  • Fax: 727-853-2277
Mailing address:
  • Phone: 727-853-2273
  • Fax: 727-853-2277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: AUDREY URSULA JARA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 727-853-2273