Organization · Type 2 NPI

Pediatric Otolaryngology Head and Neck Surgeyr Assoc. PA

Specialist · St. Petersburg, FL

NPI number 1639285513 Active

Practice location

801 6th St S, Childrens Health Center
St. Petersburg, FL 33701-4816

Call (727) 767-4305 Map

Fax (727) 767-4174

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME0056321 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1639285513

Pediatric Otolaryngology Head and Neck Surgeyr Assoc. PA's National Provider Identifier is 1639285513, issued on Aug 22, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 22, 2020.