# ST. PETERSBURG FREE CLINIC

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

## Provider details

- **NPI number:** 1366945099
- **Authorized official:** MS. BETH ANNE HOUGHTON MBA, JD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (727) 823-7866

## Contact information

- **Practice address:** 5501 - 4TH STREET NORTH, ST. PETERSBURG, FL 33703
- **Practice address phone:** (727) 327-0333
- **Practice address fax:** (727) 321-6412
- **Mailing address:** 5501 - 4TH STREET NORTH, ST. PETERSBURG, FL 33703
- **Mailing address phone:** (727) 327-0333
- **Mailing address fax:** (727) 321-6412

## Taxonomy

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

## Other

- **Enumeration date:** 03/08/2018
- **Last updated:** 03/08/2018