Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A in St Petersburg - Pediatric Gastroenterology

Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A - NPI 1780787382

Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A is a Pediatric Gastroenterology in St Petersburg, Florida. Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A is 1780787382. The last update date is 2011-05-18.

Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A's current location address is 2901 58th Ave N, St Petersburg, Florida. You can contact this provider via phone number 7278224300 and fax number 7274561399. The mailing address for Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A is 2901 58th Ave N, St Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A
Address 2901 58th Ave N, St Petersburg, Florida
Phone Number 7278224300
Fax Number 7274561399
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Mcclenathan Theodore Daniel
Credentials M.D.
Telephone Number 7278224300

NPI Number Detail

NPI Number 1780787382
Provider Enumeration Date 2006-09-07
Last Updated Date 2011-05-18

Provider Mailing Address Detail

Address 2901 58th Ave N
City St Petersburg
State Florida (FL)
Post Code 337141326
Phone Number 7278224300
Fax Number 7274561399

Provider's Primary Taxonomy Detail

Speciality Pediatric Gastroenterology
Taxonomy 2080P0206X
Definition:
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
254401600 FL --

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FAQs about Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A

What is the unique 10-digit identification code assigned to Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A by the Centers for Medicare & Medicaid Services?

The Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A has been issued the NPI (National Provider Identifier) 1780787382, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A is physically located?

The Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A is physically situated at the following address: 2901 58Th Ave N, St Petersburg, FL, 337141326.

What is Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A is Pediatric Gastroenterology, and the taxonomy code that categorizes this field of expertise is 2080P0206X.

When did Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A receive its 1780787382 assignment?

The Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A was assigned its 1780787382 on 2006-09-07, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A most recently updated or revised?

The details related to Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-18.

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