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Organization
ST PETERSBURG MATERNAL FETAL MEDICINE ASSOCIATES
Active
Organization
ST PETERSBURG MATERNAL FETAL MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL MONTENEGRO M.D. (PRESIDENT)
(727) 553-7903
Entity
Organization
Contact information
Practice address
625 6TH AVE S STE 340, ST PETERSBURG, FL 33701-4619
(727) 553-7903
(727) 553-7905
Mailing address
625 6TH AVENEUE SOUTH, SUITE 340, ST. PETERSBURG, FL 33701-4734
(727) 553-7903
(727) 553-7905
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
04/20/2008
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