IMAGINE PEDIATRICS OF FLORIDA LLC

TAMPA, FL
NPI1104542232
Entity TypeOrganization
Authorized ContactKENNETH TAYLOR BEERY
Chief Admin. Officer (CAO)
504-470-4140
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies104100000X Social Worker
106H00000X Marriage & Family Therapist
133V00000X Dietitian, Registered
183500000X Pharmacist
207R00000X Internal Medicine
363L00000X Nurse Practitioner
363LF0000X Nurse Practitioner, Family
363LP0200X Nurse Practitioner, Pediatrics
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
Enumeration Date2022-10-19
Last Update Date2024-02-06
Business Address
IMAGINE PEDIATRICS OF FLORIDA LLC
3109 W DR MARTIN LUTHER KING JR BLVD STE 350
TAMPA, FL 33607-6208
Phone number: 833-208-7770
Mailing Address
IMAGINE PEDIATRICS OF FLORIDA LLC
220 ATHENS WAY STE 240
NASHVILLE, TN 37228-1311
Phone number: 504-470-4140