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Organization

SEASIDE WELLNESS PRIMARY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTA B SHENKMAN (OWNER)
(727) 270-5047
Entity
Organization

Contact information

Practice address
7531 ULMERTON RD, LARGO, FL 33771-4548
(727) 270-5047
(727) 877-3735
Mailing address
7531 ULMERTON RD, LARGO, FL 33771-4548
(727) 270-5047
(727) 877-3735

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary

Other

Enumeration date
04/29/2024
Last updated
04/29/2026
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