St Petersburg Pain & Urgent Care
in St Petersburg, FL. Organization (NPI-2).
NPI number1386953404
StatusActive
Last updated in NPPESOct 7, 2010
Details
- NPI
- 1386953404
- Entity type
- Organization (NPI-2)
- Legal business name
- St Petersburg Pain & Urgent Care
- Organization subpart
- No
- Enumeration date
- Oct 7, 2010
- Last updated
- Oct 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | HCC8297 | FL | Yes |
Practice location
4900 33rd Ave NSt Petersburg, FL 33710-2102
Phone 727-526-8300 · Fax 727-526-8804
Mailing address
4900 33rd Ave NSt Petersburg, FL 33710-2102
Phone 727-526-8300 · Fax 727-526-8804
Authorized official
David M Carpenter
President
7275268300
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