| Affiliated Health Clinics | |
|
1515 22nd Ave N St Petersburg FL 33704-3113 | |
| (727) 322-4227 | |
| Not Available |
| Full Name | Affiliated Health Clinics |
|---|---|
| Speciality | Family Medicine |
| Location | 1515 22nd Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Dylan Dinesh (OWNER) |
| Authorized Official Contact | 7273224227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Health Clinics 1515 22nd Ave N St Petersburg FL 33704-3113 Ph: (727) 322-4227 | Affiliated Health Clinics 1515 22nd Ave N St Petersburg FL 33704-3113 Ph: (727) 322-4227 |
| NPI Number | 1831632900 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 6305129693 |
|---|---|
| Medicare Enrollment ID | O20170210002282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831632900 | NPI | - | NPPES |
| 019761700 | Medicaid | FL | |
| BT37F | Other | BCBS |
| Provider Name | Jason Eric Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932581055 PECOS PAC ID: 7416267547 Enrollment ID: I20200828001727 |
| Provider Name | Dylan Dinesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962996231 PECOS PAC ID: 3779839147 Enrollment ID: I20210730001856 |
| Provider Name | Spencer Threw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548795222 PECOS PAC ID: 0446661797 Enrollment ID: I20220308003043 |
| Provider Name | Lacie Jeanne Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497463947 PECOS PAC ID: 5597136648 Enrollment ID: I20230127000855 |
| Provider Name | Lena Clair Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164194569 PECOS PAC ID: 4183097637 Enrollment ID: I20230302001886 |
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