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RETREAT EUROPEAN ESTHETICS PL NPI 1043523798


NPI Information

NPI: 1043523798
Provider Name: RETREAT EUROPEAN ESTHETICS PL
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2021215

Address:
2837 1ST AVE N
ST PETERSBURG, FL
ZIP 33713
Phone: (727) 498-6554
Get Directions

RETREAT EUROPEAN ESTHETICS PL is a family medicine in St Petersburg, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RETREAT EUROPEAN ESTHETICS PL NPI is 1043523798. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2837 1ST AVE N
ST PETERSBURG, FL
ZIP 33713-603
Phone: (727) 498-6554
Fax: (727) 498-6555

The provider's authorized official is Roxana Manuela Stoici .
The authorized official title is Medical Director/owner and has the following contact phone number (727) 498-6554.

The CLIA number assigned to this NPI record is 10D2021215 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2010 and was last updated on 11/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1240400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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