| Gregory W. Nestor, MD, LLC | |
|
7655 38th Ave N Suite 202 St Petersburg FL 33710-1263 | |
| (727) 547-0825 | |
| (727) 547-0523 |
| Full Name | Gregory W. Nestor, MD, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 7655 38th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Gregory William Nestor (OWNER) |
| Authorized Official Contact | 7275470825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory W. Nestor, MD, LLC 7655 38th Ave N Suite 202 St Petersburg FL 33710-1263 Ph: (727) 547-0825 | Gregory W. Nestor, MD, LLC 7655 38th Ave N Suite 202 St Petersburg FL 33710-1263 Ph: (727) 547-0825 |
| NPI Number | 1760625099 |
|---|---|
| Provider Enumeration Date | 04/16/2009 |
| Last Update Date | 04/14/2020 |
| Certification Date | 04/14/2020 |
| Medicare PECOS PAC ID | 1658421987 |
|---|---|
| Medicare Enrollment ID | O20090609000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760625099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME46776 (Florida) | Primary |
| Provider Name | Gregory W Nestor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639165863 PECOS PAC ID: 0345317251 Enrollment ID: I20080918000349 |
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