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Organization
USCG CLINIC ST PETERSBURG
Active
Organization
USCG CLINIC ST PETERSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA FITZGERALD (HEALTH SYSTEMS SPECIALIST)
(757) 628-4363
Entity
Organization
Contact information
Practice address
600 8TH AVE SE, ST PETERSBURG, FL 33701-5030
(727) 535-1437
Mailing address
600 8TH AVE SE, ST PETERSBURG, FL 33701-5030
(727) 535-1437
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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