Carillon Sports And Family Medicine Pa in St Petersburg - Sports Medicine
Carillon Sports And Family Medicine Pa - NPI 1275730970
Carillon Sports And Family Medicine Pa is a Sports Medicine in St Petersburg, Florida. Carillon Sports And Family Medicine Pa practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Carillon Sports And Family Medicine Pa is 1275730970. The last update date is 2011-05-12.
Carillon Sports And Family Medicine Pa's current location address is 12225 28th St N, St Petersburg, Florida. You can contact this provider via phone number 7275614303 and fax number 7275619299. The mailing address for Carillon Sports And Family Medicine Pa is 12225 28th St N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carillon Sports And Family Medicine Pa |
|---|---|
| Address | 12225 28th St N, St Petersburg, Florida |
| Phone Number | 7275614303 |
| Fax Number | 7275619299 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Brunson A Adam |
| Credentials | MD |
| Telephone Number | 7275614303 |
NPI Number Detail
| NPI Number | 1275730970 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2011-05-12 |
Provider Mailing Address Detail
| Address | 12225 28th St N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337161860 |
| Phone Number | 7275614303 |
| Fax Number | 7275619299 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | ME80751 |
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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 identification code issued to Carillon Sports And Family Medicine Pa by the Centers for Medicare & Medicaid Services?
The Carillon Sports And Family Medicine Pa has been assigned the NPI (National Provider Identifier) 1275730970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Carillon Sports And Family Medicine Pa located?
The Carillon Sports And Family Medicine Pa is located at 12225 28Th St N, St Petersburg, FL 337161860.
What is Carillon Sports And Family Medicine Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carillon Sports And Family Medicine Pa's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275730970 to Carillon Sports And Family Medicine Pa?
The Carillon Sports And Family Medicine Pa received its 1275730970 assignment from the Centers for Medicare & Medicaid Services on 2007-06-27.
As of what date was the information regarding Carillon Sports And Family Medicine Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carillon Sports And Family Medicine Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-05-12.