ST. PETERSBURG FREE CLINIC NPI 1366945099

NPI Information

NPI: 1366945099
Provider Name: ST. PETERSBURG FREE CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2169569

Address:
5501 - 4TH STREET NORTH
ST. PETERSBURG, FL
ZIP 33703
Phone: (727) 327-0333
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ST. PETERSBURG FREE CLINIC is a general practice in St. Petersburg, FL. ST. PETERSBURG FREE CLINIC NPI is 1366945099. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5501 - 4TH STREET NORTH
ST. PETERSBURG, FL
ZIP 33703
Phone: (727) 327-0333
Fax: (727) 321-6412

The provider's authorized official is Beth Anne Houghton .
The authorized official title is Executive Director and has the following contact phone number (727) 823-7866.

The CLIA number assigned to this NPI record is 10D2169569 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 3/8/2018.

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	208D00000X	General Practice				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: 11/14/2023

NPI Synchronization or Removal

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