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Organization
PROMED IPA LLC
Active
Organization
PROMED IPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANEENDRA TIRUPATHI (ADMINISTRATOR)
(727) 492-5699
Entity
Organization
Contact information
Practice address
3301 66TH ST N STE A, ST PETERSBURG, FL 33710-1547
(727) 344-6200
(727) 344-6222
Mailing address
3301 66TH ST N STE A, ST PETERSBURG, FL 33710-1547
(727) 344-6200
(727) 344-6222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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