| St Anthony's Primary Care LLC | |
|
300 Park Place Blvd Suite 170 Clearwater FL 33759-4932 | |
| (727) 532-1355 | |
| (727) 266-4928 |
| Full Name | St Anthony's Primary Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Park Place Blvd, Clearwater, Florida |
| Authorized Official Name and Position | Kevin L. Corrigan (CAO) |
| Authorized Official Contact | 7275321355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Anthony's Primary Care LLC Po Box 1830 Clearwater FL 33757-1830 Ph: (727) 532-0002 | St Anthony's Primary Care LLC 300 Park Place Blvd Suite 170 Clearwater FL 33759-4932 Ph: (727) 532-1355 |
| NPI Number | 1629029897 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629029897 | NPI | - | NPPES |
| DE6358 | Other | FL | RAILROAD MEDICARE NUMBER |
| 276113100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
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