Provider Type Icon

SVETA MEDICAL PLLC NPI 1629208509


NPI Information

NPI: 1629208509
Provider Name: SVETA MEDICAL PLLC

Doing Business As: BLOSSOM PEDIATRIC CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2081770

Address:
507 E DR MARTIN LUTHER KING JR BLVD
112
TAMPA, FL
ZIP 33603
Phone: (813) 229-6139
Get Directions

SVETA MEDICAL PLLC is a family medicine in Tampa, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SVETA MEDICAL PLLC NPI is 1629208509. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Blossom Pediatric Care.

The provider's business location address is:

507 E DR MARTIN LUTHER KING JR BLVD
112
TAMPA, FL
ZIP 33603-932
Phone: (813) 229-6139

The provider's authorized official is Durga P Chintakayala .
The authorized official title is Physician and has the following contact phone number (813) 324-7029.

The CLIA number assigned to this NPI record is 10D2081770 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2009 and was last updated on 12/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2261QP2300XClinic/CenterPrimary CareME112476FLORIDANo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1014416300MEDICAIDFLORIDA
2456160000OTHERNEW YORKPRI
302625189MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.