Organization · Type 2 NPI
Elite Pediatric Healthcare, LLC
Pediatric Nurse Practitioner · Brandon, FL
NPI number
1962000174
Active
Practice location
673 S Kings Avenue
Brandon, FL 33511
Mailing address
19046 Bruce B Downs Blvd # 1397
Tampa, FL 33647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1962000174
Elite Pediatric Healthcare, LLC's National Provider Identifier is 1962000174, issued on Oct 12, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brandon, FL. The record was last updated on May 8, 2021.