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Organization
ST. PETERSBURG PRIMARY CARE ASSOCIATES
Active
Organization
ST. PETERSBURG PRIMARY CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M PULCINI MD (DOCTOR)
(813) 269-6426
Entity
Organization
Contact information
Practice address
780 4TH AVE S, ST PETERSBURG, FL 33701-4412
(727) 502-0052
Mailing address
6101 WEBB RD STE 203, TAMPA, FL 33615-2865
(813) 269-6426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME83175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G20297
MEDICARE UPIN
FL
Enumeration date
07/13/2017
Last updated
07/13/2017
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