# USCG CLINIC ST PETERSBURG

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

## Provider details

- **NPI number:** 1558907873
- **Authorized official:** DEBRA FITZGERALD (HEALTH SYSTEMS SPECIALIST)
- **Authorized official phone:** (757) 628-4363

## Contact information

- **Practice address:** 600 8TH AVE SE, ST PETERSBURG, FL 33701-5030
- **Practice address phone:** (727) 535-1437
- **Mailing address:** 600 8TH AVE SE, ST PETERSBURG, FL 33701-5030
- **Mailing address phone:** (727) 535-1437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/21/2019
- **Last updated:** 11/21/2019