# CMS ST PETERSBURG

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Department of Health Childrens Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235101833
- **Authorized official:** MRS. PATRICIA B KOPP (PROGRAM ADMINISTRATOR)
- **Authorized official phone:** (813) 396-9798

## Contact information

- **Practice address:** 3251 3RD AVE N, ST PETERSBURGH, FL 33713
- **Practice address phone:** (727) 893-2775
- **Practice address fax:** (727) 893-1101
- **Mailing address:** 3251 3RD AVE N, ST PETERSBURGH, FL 33713
- **Mailing address phone:** (727) 893-2775
- **Mailing address fax:** (727) 893-1101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | FL | Yes |

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 08/22/2020