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7500 4th St N Saint Petersburg FL 33702-5410 | |
| (727) 526-4122 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 7500 4th St N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Jeremy Ambrose Abinales (OFFICE MANAGER) |
| Authorized Official Contact | 7275264122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7500 4th St N Saint Petersburg FL 33702-5410 Ph: (727) 526-4122 | 7500 4th St N Saint Petersburg FL 33702-5410 Ph: (727) 526-4122 |
| NPI Number | 1477609766 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477609766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME27211 (Florida) | Primary |
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