PEDIATRIC HEALTH CARE ALLIANCE, PA
QID Q135411937 · NPI 1326714106
| Fact | Value | Period | Source |
|---|---|---|---|
| enumeration_date | {"date": "2021-08-20"} | 2021-08-20 | cms_nppes |
| legal_address | {"city": "LARGO", "region": "FL", "street": "12951 WALSINGHAM RD", "country": "US", "forma | cms_nppes | |
| legal_name | {"value": "PEDIATRIC HEALTH CARE ALLIANCE, PA"} | cms_nppes | |
| provider_status | {"value": "aktiv", "deactivation_date": null, "reactivation_date": null} | cms_nppes | |
| provider_taxonomy | {"value": "208000000X", "scheme": "NUCC"} | cms_nppes |
Cite as: FACTANKER, https://factanker.com/entity/201af00c-e4b7-476a-af11-041665c9c28c