| Dtsp Primary Care | |
|
175 2nd St S Apt 1001 Saint Petersburg FL 33701-4319 | |
| (727) 210-5823 | |
| (817) 612-3416 |
| Full Name | Dtsp Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 175 2nd St S Apt 1001, Saint Petersburg, Florida |
| Authorized Official Name and Position | Jennifer Mary Senior (NURSE PRACTITIONER) |
| Authorized Official Contact | 7272105623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtsp Primary Care 175 2nd St S Apt 1001 Saint Petersburg FL 33701-4319 Ph: (727) 210-5823 | Dtsp Primary Care 175 2nd St S Apt 1001 Saint Petersburg FL 33701-4319 Ph: (727) 210-5823 |
| NPI Number | 1497487045 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497487045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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