MEDICARE: CARING 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	208000000X	Pediatrics Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1053502997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING PEDIATRICS, PA

Provider Business Mailing Address
First Line	:	4439 ROWAN ROAD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653
Country	:	US
Telephone Number	:	727-853-2273
Fax Number	:	727-853-2277

Provider Business Practice Location Address
First Line	:	4439 ROWAN ROAD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653
Country	:	US
Telephone Number	:	727-853-2273
Fax Number	:	727-853-2277

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AUDREY URSULA JARA
Credential	:	M.D.
Telephone Number	:	727-853-2273

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	09/14/2011

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