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Organization
GREATER TAMPA BAY PHYSICIANS PINELLAS, LLC
Active
Organization
GREATER TAMPA BAY PHYSICIANS PINELLAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN GRIFFIN (AO/VP)
(727) 771-7591
Entity
Organization
Contact information
Practice address
1100 62ND AVE S, ST PETERSBURG, FL 33705-5620
(727) 866-3166
(727) 864-4043
Mailing address
1100 62ND AVE S, ST PETERSBURG, FL 33705-5620
(727) 866-3166
(727) 864-4043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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