| Nurse Practitioners Of Pinellas, Llc. | |
|
3551 42nd Avenue South Suite B107 St Petersburg FL 33711-4369 | |
| (727) 290-6116 | |
| (727) 290-6762 |
| Full Name | Nurse Practitioners Of Pinellas, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3551 42nd Avenue South Suite B107, St Petersburg, Florida |
| Authorized Official Name and Position | Ronsha Brown (OWNER) |
| Authorized Official Contact | 7272906116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurse Practitioners Of Pinellas, Llc. 3551 42nd Avenue South Suite B107 St Petersburg FL 33711-4369 Ph: (727) 290-6116 | Nurse Practitioners Of Pinellas, Llc. 3551 42nd Avenue South Suite B107 St Petersburg FL 33711-4369 Ph: (727) 290-6116 |
| NPI Number | 1851878094 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 05/08/2020 |
| Medicare PECOS PAC ID | 0244572675 |
|---|---|
| Medicare Enrollment ID | O20190503001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851878094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
| Provider Name | Albert Sm Kabemba |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689737538 PECOS PAC ID: 4587692843 Enrollment ID: I20071030000185 |
| Provider Name | Ronsha A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801285051 PECOS PAC ID: 3971892399 Enrollment ID: I20160525000188 |
| Provider Name | Sharee D Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598277824 PECOS PAC ID: 6305179516 Enrollment ID: I20190603002216 |
| Provider Name | Janita M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609343524 PECOS PAC ID: 8921331398 Enrollment ID: I20190618000995 |
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