St Anthony's Primary Care Llc | |
116 1st St N St Petersburg FL 33701-3305 | |
(727) 895-5210 | |
(727) 821-4297 |
Full Name | St Anthony's Primary Care Llc |
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Speciality | Family Medicine - Sports Medicine |
Location | 116 1st St N, St Petersburg, Florida |
Authorized Official Name and Position | Teresa Bradley (PRESIDENT) |
Authorized Official Contact | 7275321355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Anthony's Primary Care Llc Po Box 1830 Clearwater FL 33757-1830 Ph: (727) 532-0002 | St Anthony's Primary Care Llc 116 1st St N St Petersburg FL 33701-3305 Ph: (727) 895-5210 |
NPI Number | 1235398058 |
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Provider Enumeration Date | 06/06/2008 |
Last Update Date | 07/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235398058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | ME89948 (Florida) | Primary |
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