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ST.JOHN'S MEDICAL CLINICPA NPI 1508166786


NPI Information

NPI: 1508166786
Provider Name: ST.JOHN'S MEDICAL CLINIC,PA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
12001 N NEBRASKA AVE
TAMPA, FL
ZIP 33612
Phone: (813) 972-1282
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ST.JOHN'S MEDICAL CLINIC,PA is a general practice in Tampa, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ST.JOHN'S MEDICAL CLINIC,PA NPI is 1508166786. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12001 N NEBRASKA AVE
TAMPA, FL
ZIP 33612-343
Phone: (813) 972-1282
Fax: (813) 978-1677

The provider's authorized official is Chi-shang Chen .
The authorized official title is Owner and has the following contact phone number (813) 972-1282.

The enumeration date for this NPI number is 10/22/2010 and was last updated on 10/22/2010.


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
1208D00000XGeneral PracticeME41425FLORIDAYes

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: 4/28/2024

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