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 is a Pediatrics Physician 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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