MEDICARE: LITTLE GIANT 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
1	261QM3000X	Medically Fragile Infants and Children Day Care

General Provider Information

NPI Number	:	1558186312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE GIANT PEDIATRICS

Provider Business Mailing Address
First Line	:	8401 BENJAMIN RD STE G
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-1203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8401 BENJAMIN RD STE G
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-1203
Country	:	US
Telephone Number	:	813-506-9792
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAYRON FERNANDEZ
Credential	:
Telephone Number	:	813-609-5595

Provider Enumeration Date	:	11/18/2024
Last Update Date	:	04/22/2026

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