DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PEDIATRIC HEALTH CARE ALLIANCE, PA

MEDICARE: PEDIATRIC HEALTH CARE ALLIANCE, 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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1831865609
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC HEALTH CARE ALLIANCE, PA
Provider Business Mailing Address
First Line : 720 BROOKER CREEK BLVD STE 215
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-2937
Country : US
Telephone Number : 813-854-2003
Fax Number : 813-436-5378
Provider Business Practice Location Address
First Line : 10729 QUEENS TOWN DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33579-7186
Country : US
Telephone Number : 813-672-3497
Fax Number : 813-741-2418
Authorized Official
Title or Position : COO
Name : DEBRA S GONZALEZ
Credential :
Telephone Number : 813-854-2003
Provider Enumeration Date : 08/20/2021
Last Update Date : 08/10/2022

Similar Medicare Providers

1073539995 — CHRISTINA ESTRADA LEE MD
Practice Location Address:
10729 QUEENS TOWN DR
RIVERVIEW, FL
33579-7186
Practice Phone: 813-672-3497
Practice Fax: 813-741-2418
1134146673 — DR. TANYA MICHELLE LIBERATO MD
Practice Location Address:
10729 QUEENS TOWN DR
RIVERVIEW, FL
33579-7186
Practice Phone: 813-672-3497
Practice Fax: 813-741-2418
1386072577 — CHERYL CRAMER ARNP
Practice Location Address:
10729 QUEENS TOWN DR
RIVERVIEW, FL
33579-7186
Practice Phone: 813-672-3497
Practice Fax: 813-741-2418
1679951347 — BILL FOO M.D.
Practice Location Address:
10729 QUEENS TOWN DR
RIVERVIEW, FL
33579-7186
Practice Phone: 813-672-3497
Practice Fax: 813-741-2418
1548897630 — NATALIE J WICHELT
Practice Location Address:
10729 QUEENS TOWN DR
RIVERVIEW, FL
33579-7186
Practice Phone: 813-672-3497
Practice Fax: 813-741-2418
1619808847 — THRIVE & RISE THERAPY LLC
Practice Location Address:
13172 GREEN VIOLET DR
RIVERVIEW, FL
33579-7214
Practice Phone: 813-453-6467
Practice Fax:

Directions to “PEDIATRIC HEALTH CARE ALLIANCE, PA ” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.