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

Premier Care Pediatrics, PA

Organization Pediatrics Physician · NPI 1346442506

Premier Care Pediatrics, PA provides Pediatrics Physician services in Lithia, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

16637 Fishhawk Blvd Ste 101
Lithia, FL 33547-3918
Phone: (813) 657-7337
Fax: (813) 661-4702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME90457 (FL)

Record details

NPI number1346442506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Minick — President · (813) 657-7337
NPI enumeratedJune 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address16637 Fishhawk Blvd, Suite 101, Lithia, FL 33547-3918

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