Largo Physician Group, Llc in Brentwood - Pediatrics
Largo Physician Group, Llc - NPI 1578732889
Largo Physician Group, Llc is a Pediatrics in Brentwood, Tennessee. Largo Physician Group, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Largo Physician Group, Llc is 1578732889. The last update date is 2020-10-21.
Largo Physician Group, Llc's current location address is 2000 Health Park Dr, Brentwood, Tennessee. You can contact this provider via phone number 6153737600 and fax number 8663461426. The mailing address for Largo Physician Group, Llc is 2000 Health Park Dr, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Largo Physician Group, Llc |
|---|---|
| Address | 2000 Health Park Dr, Brentwood, Tennessee |
| Phone Number | 6153737600 |
| Fax Number | 8663461426 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIVISION V |
|---|---|
| Authorized Official Name | Johnson Tedrick William |
| Telephone Number | 6153723375 |
NPI Number Detail
| NPI Number | 1578732889 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2020-10-21 |
Provider Mailing Address Detail
| Address | 2000 Health Park Dr |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370274525 |
| Phone Number | 6153737600 |
| Fax Number | 8663461426 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 72062A | FL | BCBS FL-WALSINGHAM | |
| 757301 | FL | MEDICAID-WALSINGHAM LOCATION | |
| 757303 | FL | MEDICAID-BARDMOOR LOCATION | |
| 72062B | FL | BCBS FL--38TH AVE N. | |
| 757300 | FL | MEDICAID --INDIAN ROCKS LOCATI | |
| 72062 | FL | BCBS FL--INDIAN ROCKS | |
| 76062C | FL | BCBS FL-- BARDMOOR |
Post Comment/ Review Below
What is the unique identifier code issued to Largo Physician Group, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Largo Physician Group, Llc has been assigned the NPI (National Provider Identifier) 1578732889. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Largo Physician Group, Llc?
The Largo Physician Group, Llc is situated at 2000 Health Park Dr, in the city of Brentwood, state of TN, with the zip code 370274525.
What is Largo Physician Group, Llc's area of expertise and its corresponding taxonomy classification?
The Largo Physician Group, Llc's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1578732889 to Largo Physician Group, Llc?
The Largo Physician Group, Llc received its 1578732889 assignment from the Centers for Medicare & Medicaid Services on 2008-02-21.
When was the information regarding Largo Physician Group, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Largo Physician Group, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-21.