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Organization

FLORIDA PEDIATRIC ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERT SALTIEL (PRESIDENT)
(727) 865-4283
Entity
Organization

Contact information

Practice address
1800 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33704-4222
(727) 456-3288
(727) 289-2452
Mailing address
1800 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33704-4222
(727) 456-3288
(727) 289-2452

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256303700
FL
01
38313
MEDICARE PTAN
FL
Enumeration date
07/11/2006
Last updated
04/02/2024
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