# VEIN INSTITUTE OF PINELLAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205347127
- **Authorized official:** MS. CLAUDIA JEAN POULIN (ADMIN)
- **Authorized official phone:** (727) 820-1040

## Contact information

- **Practice address:** 5500 9TH ST N, ST PETERSBURG, FL 33703-1204
- **Practice address phone:** (727) 525-5500
- **Practice address fax:** (727) 522-2574
- **Mailing address:** 1839 CENTRAL AVE, ST PETERSBURG, FL 33713-8900
- **Mailing address phone:** (727) 820-1040
- **Mailing address fax:** (727) 821-7213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | FL | Yes |

## Other

- **Enumeration date:** 10/18/2017
- **Last updated:** 10/18/2017