OrganizationActive
Total Pediatric Healthcare
NPI 1639447352 · Clinic/Center · Brandon, FL
Provider details
- NPI number
- 1639447352
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stewart Grant, Owner(813) 655-5106
- License
- ME72163 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
203 Kingsway Rd
Ste a
Brandon, FL 33510-4679
Phone: (813) 655-5106
Street-level locationGet directions
Mailing address
16765 Fishhawk Blvd # 314
Lithia, FL 33547-3860
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2011-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.