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Organization
PINELLAS COMMUNITY CARE DIAGNOSTIC CENTER
Active
Organization
PINELLAS COMMUNITY CARE DIAGNOSTIC CENTER
Active
Parent organization
PROFESSIONAL HEALTH CARE OF PINELLAS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL HEALTH CARE OF PINELLAS LLC
Authorized official
RYAN MOHL (CREDENTIALING SUPPORT)
(616) 490-9299
Entity
Organization
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-3120
(903) 851-5322
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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