| Prescribed Pediatric Extended Care, Pediatric Health Choice | |
|
8509 Benjamin Rd Suite D Tampa FL 33634-1224 | |
| (813) 872-8521 | |
| (813) 880-0321 |
| Full Name | Prescribed Pediatric Extended Care, Pediatric Health Choice |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8509 Benjamin Rd, Tampa, Florida |
| Authorized Official Name and Position | Heidi Tosti (VP FINANCE & BEHAVIORAL HEALTH SERV) |
| Authorized Official Contact | 8138728521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescribed Pediatric Extended Care, Pediatric Health Choice 8509 Benjamin Rd Suite A-d Tampa FL 33634-1224 Ph: (813) 880-0220 | Prescribed Pediatric Extended Care, Pediatric Health Choice 8509 Benjamin Rd Suite D Tampa FL 33634-1224 Ph: (813) 872-8521 |
| NPI Number | 1124262126 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124262126 | NPI | - | NPPES |
| 679096896 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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