| Imagine Pediatrics Of Florida Llc | |
|
3109 W Dr Martin Luther King Jr Blvd Ste 350 Tampa FL 33607-6208 | |
| (833) 208-7770 | |
| Not Available |
| Full Name | Imagine Pediatrics Of Florida Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 3109 W Dr Martin Luther King Jr Blvd Ste 350, Tampa, Florida |
| Authorized Official Name and Position | Kenneth Taylor Beery (CHIEF ADMIN. OFFICER (CAO)) |
| Authorized Official Contact | 5044704140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Pediatrics Of Florida Llc 220 Athens Way Ste 240 Nashville TN 37228-1311 Ph: (504) 470-4140 | Imagine Pediatrics Of Florida Llc 3109 W Dr Martin Luther King Jr Blvd Ste 350 Tampa FL 33607-6208 Ph: (833) 208-7770 |
| NPI Number | 1104542232 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104542232 | NPI | - | NPPES |
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