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

Pediatric Anesthesia PA

Organization Anesthesiology Physician · NPI 1548272990

Pediatric Anesthesia PA is an Anesthesiology Physician in Tampa, Florida. Registered with an NPI since 2006.

In the registry since
2006
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

10080 Balaye Run Dr
Tampa, FL 33619-7902
Phone: (813) 490-6100
Fax: (813) 490-6105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1548272990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Vaughn — Owner · (813) 490-6100
NPI enumeratedAugust 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address204 37th Ave N, Ste 322, St Petersburg, FL 33704-1416

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