| Family Practice And Injury Center Inc | |
|
4701 Central Ave Ste A Saint Petersburg FL 33713-8153 | |
| (727) 347-3213 | |
| (727) 345-6923 |
| Full Name | Family Practice And Injury Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4701 Central Ave Ste A, Saint Petersburg, Florida |
| Authorized Official Name and Position | Nila J Allen (OFFICE MANAGER) |
| Authorized Official Contact | 7273473213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice And Injury Center Inc 4701 Central Ave Ste A Saint Petersburg FL 33713-8153 Ph: (727) 347-3213 | Family Practice And Injury Center Inc 4701 Central Ave Ste A Saint Petersburg FL 33713-8153 Ph: (727) 347-3213 |
| NPI Number | 1538245709 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 01/11/2020 |
| Medicare PECOS PAC ID | 5991752495 |
|---|---|
| Medicare Enrollment ID | O20050406001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538245709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | FLOS00004912 (Florida) | Primary |
| Provider Name | Clyde H Moreland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174569123 PECOS PAC ID: 7416915905 Enrollment ID: I20041230000215 |
| Provider Name | Speros G Hampilos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629154893 PECOS PAC ID: 1456308881 Enrollment ID: I20050407000060 |
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