Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Pediatrician, PA

Organization Pediatrics Physician · NPI 1619128675

My Pediatrician, PA provides Pediatrics Physician services in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1037 Professional Park Dr
Brandon, FL 33511-4886 Not confirmed with CMS for 17 years — call before visiting
Phone: (813) 684-5659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME78831 (FL)

Record details

NPI number1619128675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Ong — Pediatrician/Owner · (813) 684-5659
NPI enumeratedOctober 8, 2008
Last updated in NPPESOctober 8, 2008
Mailing address1037 Professional Park Dr, Brandon, FL 33511-4886

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