Premier Care Pediatrics, Pa in Lithia - Pediatrics
Premier Care Pediatrics, Pa - NPI 1346442506
Premier Care Pediatrics, Pa is a Pediatrics in Lithia, Florida. Premier Care Pediatrics, Pa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Premier Care Pediatrics, Pa is 1346442506. The last update date is 2020-08-22.
Premier Care Pediatrics, Pa's current location address is 16637 Fishhawk Blvd, Lithia, Florida. You can contact this provider via phone number 8136577337 and fax number 8136614702. The mailing address for Premier Care Pediatrics, Pa is 16637 Fishhawk Blvd, Lithia, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premier Care Pediatrics, Pa |
|---|---|
| Address | 16637 Fishhawk Blvd, Lithia, Florida |
| Phone Number | 8136577337 |
| Fax Number | 8136614702 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Minick Cameron Matthew |
| Credentials | MD |
| Telephone Number | 8136577337 |
NPI Number Detail
| NPI Number | 1346442506 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 16637 Fishhawk Blvd |
|---|---|
| City | Lithia |
| State | Florida (FL) |
| Post Code | 335473918 |
| Phone Number | 8136577337 |
| Fax Number | 8136614702 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | ME90457 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique provider identifier assigned to Premier Care Pediatrics, Pa?
The Premier Care Pediatrics, Pa has been issued the NPI (National Provider Identifier) 1346442506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Premier Care Pediatrics, Pa's physical address?
The Premier Care Pediatrics, Pa is physically located at 16637 Fishhawk Blvd, in the city of Lithia, FL, with the postal code 335473918.
What is the Premier Care Pediatrics, Pa's specialty and taxonomy code?
The Premier Care Pediatrics, Pa's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
When did the Premier Care Pediatrics, Pa receive its 1346442506?
The Premier Care Pediatrics, Pa was issued its 1346442506 on 2007-06-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Premier Care Pediatrics, Pa most recently updated or revised?
The information pertaining to Premier Care Pediatrics, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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