Provider Demographics
NPI:1992746879
Name:AFTER HOURS PEDIATRICS, INC.
Entity type:Organization
Organization Name:AFTER HOURS PEDIATRICS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-775-4030
Mailing Address - Street 1:3901 COCONUT PALM DR STE 120
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-8362
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3901 COCONUT PALM DR STE 120
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619
Practice Address - Country:US
Practice Address - Phone:813-775-4030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency MedicineGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLB901MOtherBS FL
300009OtherAVMED
FLB901POtherBS FL
B911GOtherBSFL
B908ROtherBSFL
FLB900AOtherBS FL
216599OtherSTAYWELL (CAID)
5016562OtherAETNA
7977521OtherAETNA
FLB902COtherBS FL
FLB903EOtherBS FL
V0076701OtherCITRUS
FL6365205005OtherCIGNA HEALTHCARE
FLB901NOtherBS FL
FLB903VOtherBS FL
FL1760785OtherUNITED HEALTHCARE - PPO P
FL216599OtherHEALTHEASE (CAID)
6365205006OtherCIGNA
B908WOtherBSFL