MEDICAL HOME PL NPI 1629485271

NPI Information

  • NPI: 1629485271
  • Provider Name: MEDICAL HOME PL
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: ALLCARE CLINIC
  • Address: 4401 4TH ST N
    SAINT PETERSBURG, FL
    ZIP 33703
  • Phone: (727) 525-4401

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NPI Details

MEDICAL HOME PL is a primary care clinic center in Saint Petersburg, FL. MEDICAL HOME PL NPI is 1629485271. The provider is registered as an organization entity type.
The provider Is Doing Business As Allcare Clinic.

The provider's business location address is:

4401 4TH ST N
SAINT PETERSBURG, FL
ZIP 33703-728
Phone: (727) 525-4401
Fax: (727) 525-7788

The provider's authorized official is Fred Elton Clark .
The authorized official title is Owner and has the following contact phone number (727) 525-4401.

The enumeration date for this NPI number is 7/16/2014 and was last updated on 6/11/2022.

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
1261QP2300XClinic/CenterPrimary CareME102187FLORIDAYes

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: 3/30/2025

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