| Sc Physicians Llc | |
|
620 10th Street N St Petersburg FL 33705-1407 | |
| (727) 532-1355 | |
| (727) 266-4928 |
| Full Name | Sc Physicians Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 620 10th Street N, St Petersburg, Florida |
| Authorized Official Name and Position | Lynda A. Gorken (VP, PFS) |
| Authorized Official Contact | 7275321355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sc Physicians Llc Po Box 12868 St Petersburg FL 33733-2868 Ph: (727) 532-0002 | Sc Physicians Llc 620 10th Street N St Petersburg FL 33705-1407 Ph: (727) 532-1355 |
| NPI Number | 1811295454 |
|---|---|
| Provider Enumeration Date | 03/07/2011 |
| Last Update Date | 01/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811295454 | NPI | - | NPPES |
| 003689300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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