St Marys Family Practice Center in St Petersburg - Family Medicine
St Marys Family Practice Center - NPI 1487866687
St Marys Family Practice Center is a Family Medicine in St Petersburg, Florida. St Marys Family Practice Center practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for St Marys Family Practice Center is 1487866687. The last update date is 2019-10-01.
St Marys Family Practice Center's current location address is 1152 62nd Ave S, St Petersburg, Florida. You can contact this provider via phone number 7278666306 and fax number 7278649614. The mailing address for St Marys Family Practice Center is 1152 62nd Ave S, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Marys Family Practice Center |
|---|---|
| Address | 1152 62nd Ave S, St Petersburg, Florida |
| Phone Number | 7278666306 |
| Fax Number | 7278649614 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Serag Mina Sherif |
| Credentials | MD |
| Telephone Number | 7278666306 |
NPI Number Detail
| NPI Number | 1487866687 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2019-10-01 |
Provider Mailing Address Detail
| Address | 1152 62nd Ave S |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337055620 |
| Phone Number | 7278666306 |
| Fax Number | 7278649614 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the St Marys Family Practice Center's unique identification number?
The St Marys Family Practice Center has been assigned the NPI (National Provider Identifier) Number 1487866687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where St Marys Family Practice Center is located?
The St Marys Family Practice Center is situated at the following address: 1152 62Nd Ave S, St Petersburg, FL, 337055620.
What is St Marys Family Practice Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for St Marys Family Practice Center is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the St Marys Family Practice Center receive its 1487866687 assignment from the Centers for Medicare & Medicaid Services?
The St Marys Family Practice Center was assigned its 1487866687 by the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the information regarding St Marys Family Practice Center most recently updated?
The details pertaining to the St Marys Family Practice Center, including its address, specialty, and other relevant information, were last refreshed on 2019-10-01.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC