| Innovacare Central Florida Physicians, Llc | |
|
1111 7th Ave N Ste 107 Saint Petersburg FL 33705-1348 | |
| (727) 894-1661 | |
| Not Available |
| Full Name | Innovacare Central Florida Physicians, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 7th Ave N Ste 107, Saint Petersburg, Florida |
| Authorized Official Name and Position | Dwight Perez (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3057337513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovacare Central Florida Physicians, Llc 1111 7th Ave N Ste 107 Saint Petersburg FL 33705-1348 Ph: (727) 894-1661 | Innovacare Central Florida Physicians, Llc 1111 7th Ave N Ste 107 Saint Petersburg FL 33705-1348 Ph: (727) 894-1661 |
| NPI Number | 1275200248 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275200248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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