OrganizationPediatric Associates Of Tampa Bay, LlcPediatricsAllopathic & Osteopathic PhysiciansPractice Address900 S Pine Island Rd, #800, Plantation, FL 33324-3920(954) 967-6400PECOS EnrollmentBased on the most recent information from CMS, provider Pediatric Associates Of Tampa Bay, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1861735383Provider TypeOrganizationFull NamePediatric Associates Of Tampa Bay, LlcSubpartYesEnumeration Date4/3/2013Last Updated7/13/2020Contact InformationPractice LocationPractice Address900 S Pine Island Rd, #800, Plantation, FL 33324-3920Phone(954) 967-6400Fax(954) 965-7339Mailing LocationMailing Address900 S Pine Island Rd, #800, Plantation, FL 33324-3920Phone(954) 967-6400Fax(954) 965-7339Authorized OfficialNameShulman, Peter J (President And Ceo)Phone(954) 965-7322Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID008927602DescriptionMedicaidIssuerUnlistedFlorida