Active NPIOrganization

Imagine Pediatrics Of Florida LLC

Pediatrics in Tampa, Florida

NPI Number1104542232
Practice location
3109 W Dr Martin Luther King Jr Blvd Ste 350, Tampa, FL 33607-6208
Fax
—
Last updated
October 15, 2026

Imagine Pediatrics Of Florida LLC is a healthcare organization based in Tampa, FL. Imagine Pediatrics Of Florida LLC practices in Tampa, FL. The NPI Number for Imagine Pediatrics Of Florida LLC is 1104542232. The current practice location address for Imagine Pediatrics Of Florida LLC is 3109 W Dr Martin Luther King Jr Blvd Ste 350, Tampa, FL 33607-6208 and can be reached out via phone at 833-208-7770.

Provider Profile Details

NPI Number
1104542232
Provider Name
Imagine Pediatrics Of Florida LLC
Provider Entity Type
Organization
Address
3109 W Dr Martin Luther King Jr Blvd Ste 350, Tampa, FL 33607-6208
Phone Number
833-208-7770
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Patricia Melo Hayes · President · 832-746-5683
Provider Enumeration Date
October 19, 2022
Last Update Date
October 15, 2026
Certification Date
October 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3109 W Dr Martin Luther King Jr Blvd Ste 350
Tampa, FL 33607-6208
City
Tampa
State
Florida
Zip
33607-6208
Phone Number
833-208-7770
Tampa, FL 33607Get directions →

Provider Business Mailing Address Details

Address
Po Box 34103
Belfast, ME 04915-0619
City
Belfast
State
ME
Zip
04915-0619
Phone Number
833-208-7770

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (2)
Social Worker · 104100000X
Taxonomy (3)
Marriage & Family Therapist · 106H00000X
Taxonomy (4)
Dietitian, Registered · 133V00000X
Taxonomy (5)
Pharmacist · 183500000X
Taxonomy (6)
Internal Medicine · 207R00000X
Taxonomy (7)
Pediatrics · 208000000X · Primary
Taxonomy (8)
Nurse Practitioner · 363L00000X
Taxonomy (9)
Nurse Practitioner, Family · 363LF0000X
Taxonomy (10)
Nurse Practitioner, Pediatrics · 363LP0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Imagine Pediatrics Of Florida LLC?

The NPI number of Imagine Pediatrics Of Florida LLC is 1104542232. It was assigned on October 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Imagine Pediatrics Of Florida LLC?

Imagine Pediatrics Of Florida LLC is registered under the primary taxonomy Pediatrics (code 208000000X).

Where does Imagine Pediatrics Of Florida LLC practice?

The practice location is 3109 W Dr Martin Luther King Jr Blvd Ste 350, Tampa, FL 33607-6208. The office can be reached at 833-208-7770 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104542232 directly on the NPPES registry website.

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