# ST PETERSBURG MATERNAL FETAL MEDICINE ASSOCIATES

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

## Provider details

- **NPI number:** 1548206139
- **Authorized official:** DR. RAUL MONTENEGRO M.D. (PRESIDENT)
- **Authorized official phone:** (727) 553-7903

## Contact information

- **Practice address:** 625 6TH AVE S STE 340, ST PETERSBURG, FL 33701-4619
- **Practice address phone:** (727) 553-7903
- **Practice address fax:** (727) 553-7905
- **Mailing address:** 625 6TH AVENEUE SOUTH, SUITE 340, ST. PETERSBURG, FL 33701-4734
- **Mailing address phone:** (727) 553-7903
- **Mailing address fax:** (727) 553-7905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 04/20/2008