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Organization

PEDIATRIC EMERGENCY PHYSICIANS OF ST. PETERSBURG, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NEIL J. PRINCIPE M.D. (PRESIDENT)
(800) 424-3672
Entity
Organization

Contact information

Practice address
801 6TH ST S, ST PETERSBURG, FL 33701-4816
(727) 892-8400
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
74854
BLUE SHIELD
FL
Enumeration date
07/10/2006
Last updated
09/11/2025
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