# BIODYNAMIC HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1730878612
- **Authorized official:** VINCENT PETRONELLI NP (OWNER)
- **Authorized official phone:** (401) 481-9361

## Contact information

- **Practice address:** 1150 19TH ST N, ST PETERSBURG, FL 33713-5739
- **Practice address phone:** (401) 481-9361
- **Mailing address:** 5440 8TH AVE N, ST PETERSBURG, FL 33710-6512
- **Mailing address phone:** (401) 481-9361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2023
- **Last updated:** 05/05/2023