MEDICARE: AFTER HOURS PEDIATRICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician
2	261QU0200X	Urgent Care Clinic/Center
3	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B901M	OTHER	FL	BS FL
2	300009	OTHER		AVMED
3	B901P	OTHER	FL	BS FL
4	B911G	OTHER		BSFL
5	B908R	OTHER		BSFL
6	B900A	OTHER	FL	BS FL
7	216599	OTHER		STAYWELL (CAID)
8	5016562	OTHER		AETNA
9	7977521	OTHER		AETNA
10	B902C	OTHER	FL	BS FL
11	B903E	OTHER	FL	BS FL
12	V0076701	OTHER		CITRUS
13	6365205005	OTHER	FL	CIGNA HEALTHCARE
14	B901N	OTHER	FL	BS FL
15	B903V	OTHER	FL	BS FL
16	1760785	OTHER	FL	UNITED HEALTHCARE - PPO P
17	216599	OTHER	FL	HEALTHEASE (CAID)
18	6365205006	OTHER		CIGNA
19	B908W	OTHER		BSFL

General Provider Information

NPI Number	:	1992746879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTER HOURS PEDIATRICS, INC.

Provider Business Mailing Address
First Line	:	3901 COCONUT PALM DR STE 120
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-8362
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 COCONUT PALM DR STE 120
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619
Country	:	US
Telephone Number	:	813-775-4030
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	GREGORY LEVY
Credential	:
Telephone Number	:	813-775-4030

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	11/11/2020

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