| Pediatric Health Choice | |
|
8509 Benjamin Rd Ste A-d Tampa FL 33634-1224 | |
| (813) 769-1170 | |
| Not Available |
| Full Name | Pediatric Health Choice |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8509 Benjamin Rd Ste A-d, Tampa, Florida |
| Authorized Official Name and Position | N A (VICE PREESIDENT OF BEHAVIORAL HEALT) |
| Authorized Official Contact | 8137691170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Health Choice 4602-c North Armenia Avenue Tampa FL 33603 Ph: () - | Pediatric Health Choice 8509 Benjamin Rd Ste A-d Tampa FL 33634-1224 Ph: (813) 769-1170 |
| NPI Number | 1891024022 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 03/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891024022 | NPI | - | NPPES |
| 679096896 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-09-5768 (Florida) | Primary |
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