St Anthony'S Primary Care Llc in St Petersburg - Sports Medicine
St Anthony'S Primary Care Llc - NPI 1235398058
St Anthony'S Primary Care Llc is a Sports Medicine in St Petersburg, Florida. St Anthony'S Primary Care Llc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for St Anthony'S Primary Care Llc is 1235398058. The last update date is 2008-07-03.
St Anthony'S Primary Care Llc's current location address is 116 1st St N, St Petersburg, Florida. You can contact this provider via phone number 7278955210 and fax number 7278214297. The mailing address for St Anthony'S Primary Care Llc is 116 1st St N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | St Anthony'S Primary Care Llc |
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Address | 116 1st St N, St Petersburg, Florida |
Phone Number | 7278955210 |
Fax Number | 7278214297 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Bradley Teresa |
Credentials | MD |
Telephone Number | 7275321355 |
NPI Number Detail
NPI Number | 1235398058 |
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Provider Enumeration Date | 2008-06-06 |
Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
Address | 116 1st St N |
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City | St Petersburg |
State | Florida (FL) |
Post Code | 337013305 |
Phone Number | 7278955210 |
Fax Number | 7278214297 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Qs0010X |
Licence No | ME89948 |
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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What is the unique 10-digit identifier code assigned to St Anthony'S Primary Care Llc by the Centers for Medicare & Medicaid Services?
The St Anthony'S Primary Care Llc has been issued the NPI (National Provider Identifier) 1235398058 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where St Anthony'S Primary Care Llc's facilities are situated?
The facilities of St Anthony'S Primary Care Llc are physically located at the following address: 116 1St St N, St Petersburg, FL, 337013305.
What is St Anthony'S Primary Care Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for St Anthony'S Primary Care Llc is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
When was the St Anthony'S Primary Care Llc's 1235398058 issued?
The St Anthony'S Primary Care Llc's 1235398058 was issued on 2008-06-06.
As of what date was the information regarding St Anthony'S Primary Care Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to St Anthony'S Primary Care Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-03.
NPI Number: 1376546309
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