Mountcastle Vein Center Of St Petersburg in St Petersburg - General Practice
Mountcastle Vein Center Of St Petersburg - NPI 1619022951
Mountcastle Vein Center Of St Petersburg is a General Practice in St Petersburg, Florida. Mountcastle Vein Center Of St Petersburg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mountcastle Vein Center Of St Petersburg is 1619022951. The last update date is 2014-11-20.
Mountcastle Vein Center Of St Petersburg's current location address is 5901 Sun Blvd, St Petersburg, Florida. You can contact this provider via phone number 7278656941 and fax number 7278640929. The mailing address for Mountcastle Vein Center Of St Petersburg is 5901 Sun Blvd, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountcastle Vein Center Of St Petersburg |
|---|---|
| Address | 5901 Sun Blvd, St Petersburg, Florida |
| Phone Number | 7278656941 |
| Fax Number | 7278640929 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mountcastle J Daniel |
| Credentials | M.D. |
| Telephone Number | 7278656941 |
NPI Number Detail
| NPI Number | 1619022951 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2014-11-20 |
Provider Mailing Address Detail
| Address | 5901 Sun Blvd |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337151166 |
| Phone Number | 7278656941 |
| Fax Number | 7278640929 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | ME36289 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3027OT | FL | MEDICARE | |
| 39342800 | FL | -- | |
| ME36289 | FL | MEDICAL LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mountcastle Vein Center Of St Petersburg by the Centers for Medicare & Medicaid Services?
The Mountcastle Vein Center Of St Petersburg has been issued the NPI (National Provider Identifier) 1619022951 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mountcastle Vein Center Of St Petersburg's physical address?
The Mountcastle Vein Center Of St Petersburg is physically located at 5901 Sun Blvd, in the city of St Petersburg, FL, with the postal code 337151166.
What is Mountcastle Vein Center Of St Petersburg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mountcastle Vein Center Of St Petersburg is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
When did the Mountcastle Vein Center Of St Petersburg receive its 1619022951?
The Mountcastle Vein Center Of St Petersburg was issued its 1619022951 on 2007-01-25, which is the date when the organization was assigned this unique identifier.
When was the Mountcastle Vein Center Of St Petersburg's information last updated?
The Mountcastle Vein Center Of St Petersburg's information was last updated on 2014-11-20.