| Southern Physicians Group Llc | |
|
1609 Pasadena Ave S Ste 1e South Pasadena FL 33707-4555 | |
| (919) 349-1232 | |
| (727) 677-9333 |
| Full Name | Southern Physicians Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1609 Pasadena Ave S Ste 1e, South Pasadena, Florida |
| Authorized Official Name and Position | Bryan Fink (PRESIDENT) |
| Authorized Official Contact | 7276779333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Physicians Group Llc 7045 75th St N Pinellas Park FL 33781-3748 Ph: (919) 349-1232 | Southern Physicians Group Llc 1609 Pasadena Ave S Ste 1e South Pasadena FL 33707-4555 Ph: (919) 349-1232 |
| NPI Number | 1245098185 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 9739527474 |
|---|---|
| Medicare Enrollment ID | O20240401002290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245098185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Bryan Patrick Fink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568952869 PECOS PAC ID: 2668862616 Enrollment ID: I20211206001418 |
Musculoskeletal Institute Chartered Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1615 Pasadena Ave S Ste 150, South Pasadena, FL 33707 Phone: 813-978-9700 | |
Gts Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6800 Gulfport Blvd S Ste 101, South Pasadena, FL 33707 Phone: 727-275-2005 Fax: 727-498-8951 | |
Maturity Medical Of Pinellas Professional Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1615 Pasadena Ave S Ste 250, South Pasadena, FL 33707 Phone: 727-527-6200 Fax: 727-347-0893 | |
Robert P. Fedor, D.o.p.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 Shore Dr S, South Pasadena, FL 33707 Phone: 727-391-4100 Fax: 727-398-2067 | |
David A Long Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1615 Pasadena Ave S, 250, South Pasadena, FL 33707 Phone: 727-381-7727 Fax: 727-381-8229 | |
Kfm Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1609 Pasadena Ave S Ste 4g, South Pasadena, FL 33707 Phone: 727-323-1090 Fax: 727-323-1010 |