PASADENA ENT PA NPI 1497776678

NPI Information

  • NPI: 1497776678
  • Provider Name: PASADENA ENT PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 6827 FIRST AVENUE SOUTH
    SUITE 100
    ST PETERSBURG, FL
    ZIP 33707
  • Phone: (727) 341-0551

Map and Directions

Get Directions

NPI Details

PASADENA ENT PA is a specialist in St Petersburg, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PASADENA ENT PA NPI is 1497776678. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6827 FIRST AVENUE SOUTH
SUITE 100
ST PETERSBURG, FL
ZIP 33707-516
Phone: (727) 341-0551
Fax: (727) 341-0332

The provider's authorized official is Roy Spence .
The authorized official title is Office Manager and has the following contact phone number (727) 341-0551.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 6/20/2014.

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
1174400000XSpecialistME82762FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101150ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE #
2261879600MEDICAIDFLORIDA
3H40251MEDICARE UPINFLORIDA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI