| Pinellas Primary Care Inc | |
|
2299 9th Ave North Ste 1f St Petersburg FL 33713-6851 | |
| (727) 323-9000 | |
| (727) 323-9100 |
| Full Name | Pinellas Primary Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2299 9th Ave North, St Petersburg, Florida |
| Authorized Official Name and Position | Jaysukhlal V Panara (OWNER PRESIDENT) |
| Authorized Official Contact | 7273239000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinellas Primary Care Inc 2299 9th Ave North Ste 1f St Petersburg FL 33713-6851 Ph: (727) 323-9000 | Pinellas Primary Care Inc 2299 9th Ave North Ste 1f St Petersburg FL 33713-6851 Ph: (727) 323-9000 |
| NPI Number | 1639229842 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 11/20/2008 |
| Medicare PECOS PAC ID | 4284612524 |
|---|---|
| Medicare Enrollment ID | O20040712001443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639229842 | NPI | - | NPPES |
| 269655000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jaysukhlal Veljibhai Panara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508934407 PECOS PAC ID: 7810975158 Enrollment ID: I20101006000898 |
| Provider Name | Priya J Panara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639555204 PECOS PAC ID: 1850642372 Enrollment ID: I20180924000023 |
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