| Medical Associates Of Central Pinellas | |
|
6450 38th Ave N Suite #350 St Petersburg FL 33710-1645 | |
| (727) 344-7339 | |
| (727) 343-8470 |
| Full Name | Medical Associates Of Central Pinellas |
|---|---|
| Speciality | Clinic/Center |
| Location | 6450 38th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Leo R Teytelbaum (PRESIDENT/OWNER) |
| Authorized Official Contact | 7273447339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Central Pinellas 6450 38th Ave N Suite #350 St Petersburg FL 33710-1645 Ph: (727) 344-7339 | Medical Associates Of Central Pinellas 6450 38th Ave N Suite #350 St Petersburg FL 33710-1645 Ph: (727) 344-7339 |
| NPI Number | 1528239068 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 02/16/2010 |
| Medicare PECOS PAC ID | 3678615507 |
|---|---|
| Medicare Enrollment ID | O20100115000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528239068 | NPI | - | NPPES |
| 069784200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME0044110 (Florida) | Primary |
| Provider Name | Leo Teytelbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053388512 PECOS PAC ID: 1052305448 Enrollment ID: I20040408001546 |
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