| St. Petersburg Primary Care Associates | |
|
780 4th Ave S St Petersburg FL 33701-4412 | |
| (727) 502-0052 | |
| Not Available |
| Full Name | St. Petersburg Primary Care Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 780 4th Ave S, St Petersburg, Florida |
| Authorized Official Name and Position | Paul M Pulcini (DOCTOR) |
| Authorized Official Contact | 8132696426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Petersburg Primary Care Associates 6101 Webb Rd Ste 203 Tampa FL 33615-2865 Ph: (813) 269-6426 | St. Petersburg Primary Care Associates 780 4th Ave S St Petersburg FL 33701-4412 Ph: (727) 502-0052 |
| NPI Number | 1265954085 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265954085 | NPI | - | NPPES |
| G20297 | Other | FL | MEDICARE UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME83175 (Florida) | Primary |
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