Greater Tampa Bay Physicians Pinellas, Llc | |
1100 62nd Ave S St Petersburg FL 33705-5620 | |
(727) 866-3166 | |
(727) 864-4043 |
Full Name | Greater Tampa Bay Physicians Pinellas, Llc |
---|---|
Speciality | Family Medicine |
Location | 1100 62nd Ave S, St Petersburg, Florida |
Authorized Official Name and Position | Ken Griffin (AO/VP) |
Authorized Official Contact | 7277717591 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Greater Tampa Bay Physicians Pinellas, Llc 1100 62nd Ave S St Petersburg FL 33705-5620 Ph: (727) 866-3166 | Greater Tampa Bay Physicians Pinellas, Llc 1100 62nd Ave S St Petersburg FL 33705-5620 Ph: (727) 866-3166 |
NPI Number | 1629402359 |
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Provider Enumeration Date | 08/29/2013 |
Last Update Date | 08/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629402359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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