Healthcare Provider Details

I. General information

NPI: 1194861211
Provider Name (Legal Business Name): DK PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 ASHLEY OAKS CIR STE 102
WESLEY CHAPEL FL
33544-6429
US

IV. Provider business mailing address

2230 ASHLEY OAKS CIR STE 102
WESLEY CHAPEL FL
33544-6429
US

V. Phone/Fax

Practice location:
  • Phone: 813-973-2500
  • Fax: 813-973-4438
Mailing address:
  • Phone: 813-973-2500
  • Fax: 813-973-4438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. RITA DUBEY
Title or Position: PRESIDENT
Credential: M.D
Phone: 813-973-2500