# ECHINACEA MEDICAL PLLC

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

## Provider details

- **NPI number:** 1821880055
- **Authorized official:** ANN DE LARA (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (305) 423-9580

## Contact information

- **Practice address:** 7901 4TH ST N \# 31505, ST PETERSBURG, FL 33702-4305
- **Practice address phone:** (305) 423-9580
- **Mailing address:** 7901 4TH ST N \# 31505, ST PETERSBURG, FL 33702-4305
- **Mailing address phone:** (305) 423-9580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2025
- **Last updated:** 02/25/2026