| Maturity Medical Of Pinellas, P.a. | |
|
6101 Dr Mlk Jr St N Saint Petersburg FL 33703-3370 | |
| (727) 527-6200 | |
| (727) 527-6200 |
| Full Name | Maturity Medical Of Pinellas, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6101 Dr Mlk Jr St N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Oswald A Williams (MD) |
| Authorized Official Contact | 7275276200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maturity Medical Of Pinellas, P.a. 6101 Dr Mlk Jr St N Saint Petersburg FL 33703 Ph: (727) 527-6200 | Maturity Medical Of Pinellas, P.a. 6101 Dr Mlk Jr St N Saint Petersburg FL 33703-3370 Ph: (727) 527-6200 |
| NPI Number | 1063698744 |
|---|---|
| Provider Enumeration Date | 01/13/2008 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 7214121532 |
|---|---|
| Medicare Enrollment ID | O20101101000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063698744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME62503 (Florida) | Primary |
| Provider Name | Oswald A Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760449185 PECOS PAC ID: 4486786373 Enrollment ID: I20100712000542 |
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