Provider Demographics
NPI:1053502997
Name:CARING PEDIATRICS, PA
Entity Type:Organization
Organization Name:CARING PEDIATRICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:URSULA
Authorized Official - Last Name:JARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-853-2273
Mailing Address - Street 1:4439 ROWAN ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653
Mailing Address - Country:US
Mailing Address - Phone:727-853-2273
Mailing Address - Fax:727-853-2277
Practice Address - Street 1:4439 ROWAN ROAD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653
Practice Address - Country:US
Practice Address - Phone:727-853-2273
Practice Address - Fax:727-853-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268452700Medicaid
FL268355500Medicaid
FLH96944Medicare UPIN
FLI39894Medicare UPIN