Pediatric Associates of Tampa Bay, LLC

NPI #1245855063 in Brandon, Florida

Provider Information

NPI Number: 1245855063
Entity Type: Organization
Organization Name: Pediatric Associates of Tampa Bay, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 9, 2020
Last Updated: Jun 9, 2020

Practice Location

Address: 901 E BLOOMINGDALE AVE # 501
City: Brandon
State: Florida
ZIP Code: 33511-8118
Phone: (941) 909-7003

Authorized Official

Name: PATRICIA CORSIATTO
Title: DIRECTOR CREDENTIALING
Phone: (954) 965-7331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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