NURSE PRACTITIONERS OF PINELLAS LLC. NPI 1851878094

NPI Information

NPI: 1851878094
Provider Name: NURSE PRACTITIONERS OF PINELLAS, LLC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2160307

Address:
3551 42ND AVENUE SOUTH SUITE B107
ST PETERSBURG, FL
ZIP 33711
Phone: (727) 290-6116
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NURSE PRACTITIONERS OF PINELLAS, LLC. is a primary care clinic center in St Petersburg, FL. NURSE PRACTITIONERS OF PINELLAS, LLC. NPI is 1851878094. The provider is registered as an organization entity type.

The provider's business location address is:

3551 42ND AVENUE SOUTH SUITE B107
ST PETERSBURG, FL
ZIP 33711-369
Phone: (727) 290-6116
Fax: (727) 290-6762

The provider's authorized official is Ronsha Brown .
The authorized official title is Owner and has the following contact phone number (727) 290-6116.

The CLIA number assigned to this NPI record is 10D2160307 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2018 and was last updated on 5/8/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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